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.

Requirements

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.