Ar Executive Avalamb Services Private Limited
Avalamb Services Private Limited
Office Location
Full Time
Experience: 1 - 1 years required
Pay: INR 150000 - INR 200000 /year
Type: Full Time
Location: Navi Mumbai
Skills: ar calling, us healthcare, AR management, ar calling medical billing, payment posting, medical billing, denial management, Eligibility Verification, provider billing
About Avalamb Services Private Limited
Job Description
Job Title: Jr / Sr. Accounts Receivable Executive
Location: New Mumbai
Department: Revenue Cycle
Reports To: Accounts Receivable Manager
Employment Type: Full-time
Job Summary:
We are seeking a detail-oriented and motivated Jr / Sr. Accounts Receivable Executive to support the billing and collections process. The role involves resolving aged AR accounts, tracking payments, communicating with payers for resolution, and ensuring timely collections while doing accurate follow-up.
Key Responsibilities:
- Review account thoroughly, including any prior comments on the account, EOBs / ERAs / Correspondence, and perform pre-resolution analysis.
- Understand the reason for rejection, denials, or no status from the payer.
- Work on the resolution of the claim by performing follow-up with the payer using the most optimal method, i.e., calling, IVR, web, or email.
- Take appropriate action to move the account towards resolution, including rebilling the claim, sending claims for reprocessing, reconsideration, redetermination, appeal
(portal/web, fax, mail), verifying eligibility and benefits, and managing management handoff with the client and internal teams.
- Documentation of all the actions on the practice management system and workflow
management system and maintain an audit trail.
- Ensure adherence to Standard Operating Procedures and compliance.
- Highlight any global trend/pattern and issue escalation with the leadership team.
- Meet the productivity and quality target on a daily/monthly basis.
- Upskill by learning new/additional skills and enhancing competencies. Active participation in all process/client-specific training and refresher training.
Requirements:
- Undergraduate / Graduate in any stream with 2 to 4 years of experience in US Healthcare RCM for Account Receivable / Denial Management Resolution.
- Fluent communication, both verbal and written.
- Good analytical skills, attention to detail, and resolution-oriented.
- Should have knowledge about the RCM end-to-end cycle and proficiency in AR fundamentals and denial management.
- Basic knowledge of computers and MS Office.
Preferred Qualities:
- Eagerness to learn and grow within the finance team.
- Ability to work both independently and collaboratively.
- Time management skills and ability to meet deadlines in a fast-paced environment.