3 - 7 years
3 - 4 Lacs
Posted:6 hours ago|
Platform:
Work from Office
Full Time
Hi Applicants !! Greetings from Flatworld Healthcare Service !! Hiring for Subject Matter Expert (SME) - AR Caller Department: Revenue Cycle Management (RCM) Location: Bangalore -Kudlu Gate Experience: 3-6 years in AR calling, with 1-2 years in a lead or SME role (provider side) Roles and Responsibility : Act as a knowledge resource for AR callers handling complex denials, rejections, and aged claims. Resolve high-value or critical accounts and assist with escalated payer issues. Analyze EOBs/ERAs and guide on next steps for denied or underpaid claims. Understand and interpret payer-specific guidelines (e.g., Medicare, Medicaid, BCBS, Aetna). Support the team in crafting effective appeals, reconsiderations, and dispute letters. Identify denial trends and assist in root cause analysis to prevent recurrence. Train new AR callers on provider-specific policies, systems, and payer rules. Participate in internal review meetings and client calls (if offshore). Skills & Qualifications: 3-6 years of experience in AR Calling (Provider side), with strong knowledge of US healthcare RCM. In-depth understanding of CPT/ICD codes, modifiers, EOBs, ERAs, and claim adjudication. Experience with EMRs and billing software (e.g., Athena, Epic, Allscripts). Excellent communication, leadership, and problem-solving skills. Proficiency in Excel and AR reporting tools. Thanks & Regards Danuja HR Flatworld Healthcare Solutions Contact 9035473862 Email: danuja.s@flatworldsolutions.in / danuja.s@finnastra.com Web: www.flatworldsolutions.com
Flatworld Healthcare Services Private Limited
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