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Executive / Sr. Executive – Ar – Physician Billing

1-3 years
Not Disclosed
10 Dec. 10, 2024
Job Description
Job Type: Full Time Education: B.Sc./M.Sc./B.Pharm/M.Pharm/Life science Skills: Causality Assessment, Clinical SAS Programming, Communication Skills, CPC Certified, GCP guidelines, ICD-10 CM Codes, CPT-Codes, HCPCS Codes, ICD-10 CM, CPT, HCPCS Coding, ICH guidelines, ICSR Case Processing, Interpersonal Skill, Labelling Assessment, MedDRA Coding, Medical Billing, Medical Coding, Medical Terminology, Narrative Writing, Research & Development, Technical Skill, Triage of ICSRs, WHO DD Coding

Job Title: Executive / Sr. Executive – AR – Physician Billing

Location: Bengaluru, Hyderabad, Chennai


Job Description

We are seeking dedicated professionals for the role of Executive / Sr. Executive – AR – Physician Billing, who will be responsible for managing physician billing accounts receivable and ensuring the timely resolution of outstanding claims.


Key Responsibilities

  1. Insurance Follow-Up:

    • Contact US-based insurance companies on behalf of Physicians, Clinics, or Hospitals to follow up on outstanding claims.

    • Persuade payers for prompt payment of claims.

  2. Revenue Cycle Management (RCM):

    • Understand and contribute to the improvement of RCM processes.

    • Address clerical denials and ensure resolution of claims under $500.

  3. Specialty Billing:

    • Handle billing for specialty cases such as Transplant, Gift of Life, and Organ Procurement.

    • Identify and apply appropriate billing changes for specific cases.

  4. Compliance and Quality Assurance:

    • Follow HIPAA guidelines and organizational policies to maintain compliance.

    • Use checklists to ensure adherence to quality processes.

  5. Client Interaction and Updates:

    • Collaborate with Team Leaders for client updates and ensure production logs are maintained.

    • Escalate unresolved issues to Managers or Team Leaders.

  6. Operational Efficiency:

    • Meet productivity and quality targets within defined TAT (Turnaround Time).

    • Work with designated Work Queues (WQs) in EPIC software, starting at Day 30 from the billing date.


Eligibility Requirements

  • Experience:

    • 1–3 years of relevant experience in AR activities for the provider side of the US healthcare domain.

    • Hands-on experience in claims analysis and insurance follow-ups.

  • Skills:

    • Excellent oral and written communication skills.

    • Familiarity with EPIC software is desirable.

    • Knowledge of specialty billing processes is an added advantage.

  • Work Hours:

    • Open to working US timings (EST hours).

    • Must be willing to work from the office.


Why Join Us?

  • Opportunity to gain experience in the specialized field of physician billing and RCM.

  • Exposure to advanced software tools like EPIC.

  • A dynamic work environment promoting collaboration and growth.

  • Competitive compensation with a focus on career development.

If you're a motivated individual with expertise in AR processes and a passion for healthcare, we invite you to apply for this role and grow with us!