Accounts Receivable Specialist

We're Hiring | AR Executive – US Healthcare RCM | Chennai

Location: Chennai, India

Scintillate RCM Healthcare is looking for experienced Accounts Receivable (AR) professionals to join our growing US Healthcare Revenue Cycle Management team.

We are looking for people who understand the US healthcare billing and AR process and can independently work on outstanding claims, payer follow-ups, denials and accounts receivable.

Key Responsibilities

• Work on outstanding insurance and patient accounts
• Perform insurance follow-up on unpaid and underpaid claims
• Analyze AR aging and prioritize accounts appropriately
• Review EOBs, ERAs and payer responses
• Identify the reason for claim denials and determine the appropriate action
• Work on claim reprocessing, corrections and appeals
• Follow up with insurance companies through payer portals and phone
• Investigate claim status and payment discrepancies
• Identify underpayments and short payments
• Work on denials, rejections and timely filing issues
• Review claim history and account documentation
• Coordinate with coding, billing and other RCM teams when required
• Document all follow-up actions accurately in the system
• Escalate complex accounts appropriately
• Meet daily productivity and quality targets
• Ensure timely resolution of outstanding AR
• Maintain accurate and complete account notes
• Work on high-dollar and aged AR accounts when assigned
• Identify recurring denial trends and communicate them to the appropriate team

What We're Looking For

Minimum 3 years of experience in US Healthcare AR is mandatory.

The ideal candidate should have:

• Strong understanding of the US Healthcare RCM process
• Hands-on experience in Accounts Receivable / Insurance Follow-up
• Good knowledge of insurance claim life cycle
• Experience working with commercial payers and government payers
• Ability to interpret EOBs/ERAs and denial codes
• Understanding of CARC/RARC codes will be an advantage
• Experience with payer portals such as Availity, Waystar and other payer-specific portals
• Strong knowledge of claim status and follow-up procedures
• Good analytical and problem-solving skills
• Strong written and verbal communication skills
• Good understanding of HIPAA and patient data confidentiality
• Ability to work independently and manage assigned AR inventory
• Strong attention to detail
• Ability to meet productivity and quality targets

We particularly value candidates who can do more than routine follow-up.

We are looking for AR professionals who can look at an account and understand:

Why did it not pay

What caused the denial

Can it be corrected

Can it be appealed

Is there another payer responsibility

Is the balance truly patient responsibility

What is the next best action

The ability to analyze an account and determine the correct resolution, rather than simply documenting a follow-up, is highly valued.

Qualification

• Minimum 3 years of relevant US Healthcare AR experience
• Graduate degree preferred
• Experience in DMEPOS / Medical Billing / Physician Billing / Hospital RCM will be an advantage
• Experience with AR and denial management preferred

Location: Chennai

Experience: 3+ years

Industry: US Healthcare RCM

If you are an experienced US Healthcare AR professional looking for an opportunity to grow with a rapidly expanding RCM organization, we would like to hear from you.

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