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Common AR/RCM specialist role in a Pune metro office with a recognizable employer, so medium competition.
Role requires healthcare RCM and payer/claims knowledge, making cross-industry transferability low (high sensitivity).
No explicit years or certifications but domain-specific RCM/AR skills and productivity targets imply medium strictness.
Manage and resolve client, patient, and carrier claims to maintain accounts receivable health, achieving approximately 1,400 accounts worked monthly.
Handle complex payer denials and ensure secondary claims are processed and paid, including monitoring held/unbilled vouchers, denial trends, and patient balances.
Provide timely responses to client information requests and calls while complying with RCM policies and productivity targets.
Work location: Pune, mandatory work from office; Shift timing: 7:30 PM to 4:30 AM.
Strong customer service skills focused on client satisfaction and AR health.
Experience with managing unpaid claims, aging reports, clearinghouse and PM rejections handling.
Work Experience Required: Not explicitly mentioned in the JD.
Experienced in revenue cycle management with demonstrated ability to manage high volumes of accounts and complex claim denials.
Proficient in client communication and follow-up, ensuring timely resolution of claims and information requests.
Comfortable working in night shifts and office setting with strong adherence to compliance and productivity goals.