Job Title: Process Associate / Senior Process Associate
Department: Accounts Receivable
Work Shift: Night Shift
Location: Turbhe, Navi Mumbai
About the Role:
We are looking for dedicated and detail-oriented Process Associates / Senior Process Associates to join our Accounts Receivable (AR) team. The role involves analyzing healthcare receivables, performing follow-ups with US insurance payers and patients, and ensuring timely reimbursement while maintaining compliance with US healthcare regulations.
Key Responsibilities:
- Review patient accounts and perform appropriate follow-up actions to resolve outstanding balances in accordance with best practice standards.
- Analyze receivables due from healthcare insurance companies and initiate necessary follow-up actions for reimbursement.
- Perform voice and non-voice follow-ups with insurance payers regarding the status of outstanding claims.
- Prepare, complete, and submit claim forms in compliance with CMS and third-party payer guidelines.
- Manage denial and appeal processes by following established protocols.
- Contact patients and guarantors regarding outstanding self-pay balances.
- Draft and send correspondence to insurance payers, third parties, and patients related to claim resolution and appeals.
- Document all actions, communications, and updates accurately in Infinx or client host systems.
- Ensure strict adherence to HIPAA, patient confidentiality, and compliance requirements at all times.
- Research and stay updated on payer rules, regulations, and policy changes.
- Deliver service excellence to patients, clients, and internal stakeholders.
- Meet or exceed individual and team productivity, quality, and performance targets.
Required Qualifications:
- Education:
- Minimum HSC / 10+2 or equivalent
- Any Graduate preferred
- Experience:
- 13 years of experience in the US healthcare calling / AR process
Skills & Competencies:
- Experience in claims management and/or customer service preferred.
- Ability to maintain high levels of productivity, quality, and accuracy.
- Excellent written and verbal communication skills to represent Infinx clients professionally.
- Proficiency in Microsoft Office Suite and basic computer applications.
- Strong analytical, problem-solving, and multitasking abilities.
- Ability to work independently, remain resourceful, and manage multiple priorities effectively.
Work Environment:
- Night shift role supporting US healthcare operations
- Fast-paced, performance-driven AR environment
