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Accounts Receivable Associate

Harris Global Business Services (GBS)
Mumbai, IND
Full-time
Entry
Onsite
Discovered 4 days ago
Accounts receivableMedical billingRevenue cycle managementClaims follow-up and collectionsDenial management and appealsPayment reconciliation and posting
Free

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Key skills for this role

Accounts receivableMedical billingRevenue cycle management
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Business Unit

Resolv provides revenue cycle solutions for healthcare businesses and works with revenue cycle management companies to improve financial performance, patient experience, and reimbursement operations.

Job Summary

Manage and follow up on outstanding healthcare claims, ensure timely collections, resolve payment discrepancies, reduce outstanding accounts receivable, and maintain accurate financial records.

The role supports the healthcare revenue cycle by improving cash flow and resolving claims and payment issues.

Work Mode and Location

  • Work from office in Mumbai.
  • The role is based in Mumbai, India.

Shift Timings

  • Night shift from 8:00 p.m. to 5:00 a.m. or 9:00 p.m. to 6:00 a.m.

Claims Follow-Up and Collections

  • Monitor outstanding insurance claims and patient balances and conduct timely follow-up with insurance providers.
  • Investigate and resolve denials, underpayments, and delays in claim processing.
  • Contact patients about outstanding balances, set up payment plans, and provide billing support.

Payment Reconciliation and Posting

  • Work with the payment posting team to ensure correct application of payments and adjustments.
  • Reconcile daily accounts receivable reports and accounts to track collections and pending claims.
  • Identify and escalate billing errors or discrepancies for resolution.

Denial Management and Appeals

  • Analyze denial trends and collaborate with the billing team to correct recurring issues.
  • Prepare and submit appeals for denied or underpaid claims with appropriate documentation.
  • Maintain appeal status records and follow up with insurance carriers.

Reporting and Collaboration

  • Generate and maintain aging reports, accounts receivable summaries, and collection reports.
  • Ensure compliance with HIPAA, Medicare, Medicaid, and private payer policies.
  • Work with billing, payment posting, and coding teams to resolve discrepancies and streamline accounts receivable operations.

Mandatory Qualifications and Skills

  • Bachelor's degree in Accounting, Finance, Business Administration, or a related field is listed, although the source marks it as preferred.
  • At least one year of experience in accounts receivable, medical billing, or revenue cycle management.
  • Experience with revenue cycle management software, including platforms such as EPIC, Athenahealth, Cerner, eClinicalWorks, NextGen, Kareo, or Meditech.

Preferred Skills

  • Strong knowledge of insurance reimbursement processes, accounts receivable management, and medical billing.
  • Familiarity with CPT, ICD-10, and HCPCS codes for claim verification.
  • Proficiency in Microsoft Excel, financial reconciliation, and reporting tools.
  • Ability to work independently and manage high-volume accounts receivable portfolios.

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