Account Receivable

Key Roles & Responsibilities

1. Accounts Receivable (AR) Management

• Work on outstanding medical claims submitted to US insurance companies.
• Identify reasons for delayed, denied, or unpaid insurance claims.
• Follow up with insurance representatives to obtain claim status updates.
• Take appropriate action to facilitate timely claim payments.
• Maintain accurate documentation of all follow-up activities.

2. Insurance Follow-ups

• Communicate with US-based insurance companies through outbound calls.
• Verify claim status, payment information, and denial reasons.
• Understand insurance policies, billing procedures, and claim-processing requirements.
• Coordinate with internal teams to resolve claim-related discrepancies.
• Ensure timely follow-ups on pending claims.

3. Denial Management

• Analyze denied or rejected medical claims.
• Identify the root causes of claim denials.
• Work toward resolving denials through corrections, reconsiderations, or appeals.
• Follow established procedures to prevent recurring claim denials.
• Escalate complex cases to senior team members when necessary.

4. Documentation & Process Compliance

• Update claim-related information accurately in the billing software.
• Maintain detailed notes of conversations with insurance representatives.
• Follow company policies, quality standards, and process guidelines.
• Maintain patient information confidentiality and comply with applicable HIPAA requirements.

5. Performance & Productivity

• Achieve daily and monthly productivity targets.
• Maintain the required quality and accuracy standards.
• Participate in training sessions and process improvement initiatives.
• Demonstrate continuous improvement in communication, technical knowledge, and problem-solving abilities.

Mandatory Job Requirements

Candidates must meet the following requirements:

1. Night Shift: Must be comfortable working in night shifts aligned with US business hours.
2. English Communication: Must possess good English communication skills.
3. Employment Bond: Must be willing to sign a one-year employment bond, subject to the terms and conditions of the employment agreement.
4. Learning Attitude: Must be willing to undergo training in US Healthcare RCM processes.
5. Professional Commitment: Must demonstrate punctuality, discipline, and a willingness to meet performance expectations.

Training & Development

Selected candidates will receive training in:

• Introduction to the US Healthcare industry.
• Fundamentals of Revenue Cycle Management (RCM).
• Medical billing and insurance claim processing.
• Accounts Receivable (AR) management.
• Denial identification and resolution.
• US insurance terminology and claim procedures.
• Professional communication with US insurance representatives.
• Healthcare compliance and data confidentiality.
• Process-specific software and documentation.

Prior knowledge of medical billing or US Healthcare is not mandatory.

Career Growth Opportunities

Candidates can build a long-term career in the US Healthcare RCM industry with potential progression into roles such as:

AR Analyst → Senior AR Analyst → Subject Matter Expert (SME) → Team Leader → Assistant Manager → Operations Manager

Career progression will depend on individual performance, skill development, experience, and organizational opportunities.