AR Caller / AR Follow up (RCM) – Senior Executive
On-site · Gurugram, Haryana, India
Job Summary
AR Denials – Senior Executive responsible for AR follow-up and denial management in US Healthcare; manage denial resolution and recovery, follow up on unpaid or denied claims within standard billing cycles, analyze denials such as No Auth, Duplicate, Bundled, Inclusive, COB, Non-Covered, Medical Necessity, Timely Filing; verify insurance details and patient data; submit claims via billing software; communicate with clients on coding/billing/documentation issues; perform eligibility/benefit verification; process ERA/EOB postings; ensure HIPAA compliance and accurate documentation.
Required Qualifications
- Minimum 2 years of hands-on experience in US Healthcare AR follow-up and Denial Management.
- Strong understanding of denial types including No Auth, COB, Bundled, Duplicate, Inclusive, and other payer-specific denial reasons.
- Knowledge of payer rules, coordination of benefits (COB), and appeals processes.
- Familiarity with charge entry, claim submission, and payment posting (ERA/EOB).
- Ability to read and interpret superbills and medical billing data.
- Strong verbal and written communication skills.
- Detail-oriented with the ability to multitask and meet productivity targets.
- Familiarity with credentialing is a plus.
- Proficient in handling Protected Health Information (PHI) in line with HIPAA compliance.
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