AR & Claims Resolution Associate-Medical Billng

Accounts Receivable & Denials Management

• Monitor and manage outstanding insurance claims to minimize accounts receivable (AR) balances.
• Review and resolve claim denials daily, ensuring timely and accurate follow-up.
• Analyze Electronic Remittance Advice (ERA) data to identify recurring denial trends and recommend corrective actions.
• Prepare, submit, and track appeals for denied or underpaid claims with proper documentation.
• Investigate payment discrepancies and escalate complex cases to the Billing Manager as needed.
• Maintain and update AR aging reports; provide weekly and monthly performance updates.
• Process claims for specialized services, including TMS, Spravato, and psychological testing.
• Collaborate with the Billing Manager to meet AR resolution and collection targets.

Patient & Provider Support

• Address billing-related inquiries from patients, providers, and internal teams.
• Review patient accounts for accuracy, update balances, and initiate collections when necessary.
• Work with providers to correct claim errors, including coding and documentation.
• Coordinate with insurance companies on prior authorizations, coverage verification, and network participation.
• Handle patient concerns with professionalism, including processing refunds when applicable.

System Support & Process Improvement

• Submit and monitor system support tickets in eClinicalWorks (eCW) for billing issues.
• Provide training and support to team members on AR and denial resolution procedures.
• Collaborate with U.S.-based teams to ensure timely, accurate claim submissions.
• Participate in regular meetings to review AR performance, identify trends, and implement process improvements.
• Stay up to date on payer policies, compliance regulations, and industry best practices.

Job Type: Full-time

Pay: Rs40,000.00 - Rs80,000.00 per month

Ability to commute/relocate:

• Wapda Town: Reliably commute or planning to relocate before starting work (Required)

Application Question(s):

• Willing to work the night shift?

Experience:

• Medical Billing: 1 year (Preferred)

Language:

• English (Required)

Work Location: In person