AR & Denial Management Associate-Medical Billing

Accounts Receivable & Denial Management

• Manage and resolve outstanding insurance claims to minimize total Accounts Receivable (AR).
• Perform daily follow-ups on denied claims to ensure prompt and effective resolution.
• Analyze Electronic Remittance Advice (ERA) reports to identify recurring denial patterns and recommend corrective and preventive actions.
• Prepare, submit, and track appeals for denied or underpaid claims, ensuring all supporting documentation is accurate and complete.
• Investigate payment variances and escalate complex or unresolved issues to the Billing Manager as needed.
• Maintain up-to-date AR aging reports and deliver consistent weekly and monthly performance summaries.
• Manage billing and claims for specialized services, including TMS, Spravato, and psychological assessments.
• Partner closely with the Billing Manager to achieve AR reduction, recovery, and accuracy goals.

Patient & Provider Coordination

• Respond promptly and professionally to billing inquiries from patients, providers, and internal stakeholders.
• Review and update patient account information to ensure accuracy before initiating collections.
• Collaborate with providers to resolve claim issues such as coding errors or missing documentation.
• Communicate with insurance payers regarding eligibility, prior authorizations, and network participation.
• Address patient billing concerns with empathy and professionalism, including processing refunds when applicable.

Systems & Process Optimization

• Create, monitor, and resolve billing-related support tickets within eClinicalWorks (eCW).
• Provide coaching and guidance to team members on AR follow-up and denial management workflows.
• Coordinate with U.S.-based billing teams to support accurate and timely claim submissions.
• Participate in performance reviews and operational meetings to assess trends and recommend process improvements.
• Stay informed on payer policies, regulatory updates, and industry best practices in medical billing and reimbursement.

Job Type: Full-time

Pay: Rs45,000.00 - Rs70,000.00 per month

Ability to commute/relocate:

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

Experience:

• Medical Billing: 1 year (Preferred)

Language:

• English (Required)

License/Certification:

• Willing to work the night shift as per US time? (Required)

Work Location: In person