Accounts Receivable- RCM

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: - ( - )

Experience: 1+ yrs

Location: Ahmedabad, Gujarat, India

Job Type: Full-time

We are looking for a detail-oriented AR Caller & Payment Posting Specialist with experience in US Medical Billing to manage accounts receivable follow-ups and accurately process insurance and patient payments.

The role involves communicating with US insurance companies, following up on outstanding and denied claims, resolving payment discrepancies, and ensuring accurate and timely payment posting. The ideal candidate should be comfortable working with billing systems, interpreting EOBs/ERAs, and maintaining AR performance within defined targets.

Key Responsibilities

Accounts Receivable & AR Calling

• Contact US insurance companies to verify and follow up on claim status.
• Follow up regularly on unpaid, pending, and denied claims.
• Investigate and work on claim denials, rejections, and appeals.
• Identify and resolve underpayments, aged AR, and outstanding balances.
• Communicate with insurance representatives to determine claim status, payment details, and required actions.
• Maintain accurate and detailed call notes and follow-up records in billing software.
• Monitor assigned AR accounts and ensure receivables remain within defined target days.
• Meet daily productivity, collection, quality, and follow-up targets.

Payment Posting

• Accurately post insurance and patient payments into the billing system.
• Process and interpret EOBs and ERAs.
• Identify appropriate adjustments, denials, contractual amounts, and write-offs.
• Reconcile posted payments against bank deposits and remittance information.
• Investigate and report discrepancies, short payments, and underpayments.
• Ensure payment posting is completed accurately and within defined turnaround times (TAT).
• Maintain high levels of accuracy while handling payment and account information.

What's Makes You a Great Fit

• 1–3+ years of experience in US Medical Billing, particularly in AR Calling and Payment Posting.
• Strong practical understanding of US healthcare billing and insurance claims processes.
• Hands-on experience with AR follow-up, denial management, claim status verification, and appeals.
• Experience processing EOBs, ERAs, insurance payments, patient payments, adjustments, and write-offs.
• Ability to identify and resolve underpayments, aged AR, rejected claims, and payment discrepancies.
• Comfortable communicating professionally with US insurance companies and payer representatives.
• Familiarity with medical billing and practice-management software.
• Strong attention to detail and ability to maintain accurate documentation.
• Ability to work toward daily productivity, quality, collection, and TAT targets.
• Strong analytical and problem-solving skills with a proactive approach to resolving outstanding accounts.
• Good verbal and written communication skills.
• Ability to work independently while collaborating effectively with billing and finance teams.