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Common AR/RCM role in a metro location with moderate brand recognition and generalist requirements.
RCM and payer-denial expertise is healthcare-specific, reducing cross-industry transferability.
No explicit years but role requires specific RCM/claims skills and accuracy, so moderate filtering.
Manage accounts receivable processes focusing on customer service and client satisfaction for multiple stakeholders including patients and carriers.
Handle unpaid claims lifecycle through client’s management systems, including aging reports, denials, and reconciliations to ensure payment collection and accurate claim processing.
Track and resolve complex payer denials, monitor secondary claims, and manage exception reports such as held/unbilled vouchers and denial trends to maintain AR health and compliance.
Work Location: Pune with mandatory work from office during night shift (7:30 PM to 4:30 AM).
Experience Required: Not explicitly mentioned in the JD.
Strong customer service orientation focused on clients and AR management.
Must be proficient with clearinghouse, PM rejections, SharePoint, and managing complex claims and denials.
Experienced in accounts receivable management in healthcare or medical billing environment with handling payer denials and secondary claims processing.
Operates effectively in high-volume, goal-driven environments, meeting targets such as managing 1,400 accounts monthly with accuracy and compliance.
Comfortable working night shifts and collaborating in process improvement or as a knowledge partner for new hires.