Sr Associate- AR (RCM)

Senior Associate – RCM Accounts Receivable (AR)Location: Turbhe,

Department: Revenue Cycle Management

Shift Timing: 6:00 PM to 3:00 AM IST

Employment Type: Full-Time

Role Overview:

As a Senior Associate , you will be responsible for managing the end-to-end accounts receivable process within the healthcare revenue cycle. This includes following up on outstanding claims, resolving denials, and ensuring timely payments from insurance providers. The role demands strong communication skills, analytical thinking, and a thorough understanding of payer guidelines and denial management.

Core Responsibilities:

• Call Insurance Companies: Make outbound calls to insurance providers to follow up on outstanding claims and expedite payments.
• Resolve Claim Issues: Investigate and resolve denied or underpaid claims by reviewing Explanation of Benefits (EOBs) and coordinating with internal teams.
• Ensure Timely Payment: Work proactively to ensure claims are paid on time, including correcting errors and appealing denials.
• Maintain Records: Accurately document all communications and claim statuses in the billing system.
• Collaborate Internally: Work closely with medical billing, coding, and other internal teams to resolve discrepancies and improve processes.
• Stay Updated: Keep current with insurance policies, payer guidelines, procedures, and regulatory changes.
• Meet Targets: Achieve daily and monthly AR collection goals and contribute to overall team performance.

Required Skills & Qualifications:

• Graduate in any discipline.
• 1 to 5 years of experience in Accounts Receivable within the healthcare domain.
• Strong verbal and written communication skills.
• Sound knowledge of Denial Management and Payer Guidelines.
• Familiarity with medical billing, RCM processes, and healthcare software.
• Detail-oriented with strong follow-up and organizational skills.
• Ability to manage time effectively and work in a fast-paced environment.
• Analytical and problem-solving mindset.

Preferred Skills:

• Knowledge of end-to-end Revenue Cycle Management.
• Experience working with US healthcare insurance providers.
• Exposure to AR tools and systems used in healthcare settings.

Job Type: Full-time

Pay: Up to ₹600,000.00 per year

Benefits:

• Commuter assistance
• Health insurance
• Leave encashment
• Life insurance
• Paid sick time
• Paid time off
• Provident Fund

Work Location: In person