Job Description

Accountabilities:

• Identify and manage outstanding claims using customer systems, internal platforms, and assigned worklists.
• Follow up on accounts receivable by checking claim status, contacting insurance payors, navigating payer portals, and using practice management systems.
• Investigate and resolve claim denials, including submitting appeals, resubmitting claims, and escalating issues to appropriate customer teams.
• Maintain accurate and timely documentation of claim activity, follow-ups, outcomes, and next steps within designated systems.
• Perform AR-related actions as a backup to AI-driven workflows, including payer calls, portal activities, appeal preparation, and other collection tasks when required.
• Help establish and improve backup processes that maintain continuity when automated workflows require escalation or human intervention.
• Provide practical feedback on emerging billing and revenue-cycle workflows, including payment posting, EOB retrieval, benefit verification, eligibility checks, appeals, reprocessing, and resubmissions.
• Review AI-generated results and provide insights that can improve workflow accuracy, effectiveness, and automation opportunities.
• Collaborate with internal teams to identify recurring billing challenges and opportunities for process improvement.
• Adapt to evolving responsibilities and priorities as the billing function, customer needs, and technology platform continue to develop.

Requirements:

• 1–3 years of professional experience in medical billing, revenue cycle management, accounts receivable, denial management, or AR follow-up.
• Strong understanding of common AR scenarios and appropriate actions, including claim status checks, denials, appeals, resubmissions, and payer follow-up.
• Experience working with leading practice management systems such as NextGen, ModMed, Athenahealth, or similar platforms.
• Comfortable communicating directly with insurance representatives and navigating payer phone systems, IVRs, and insurance portals.
• Strong attention to detail with excellent organization, documentation, and follow-through skills.
• Ability to investigate billing issues, identify appropriate next steps, and persistently follow claims through resolution.
• Comfortable working with technology and adapting to AI-supported billing and revenue-cycle workflows.
• Ability to provide clear, practical feedback on processes, workflows, and automated system outputs.
• Strong ownership and accountability, with the ability to work independently while collaborating effectively with others.
• Comfortable working in a fast-paced environment where priorities, processes, and responsibilities may evolve quickly.
• Demonstrated empathy, reliability, curiosity, and a bias toward action when solving customer and billing challenges.

Benefits:

• Competitive compensation with eligibility for a performance-related bonus on the anniversary date.
• Paid sick leave and vacation days.
• Comprehensive health insurance provided at no cost, with no deductible or copay and coverage extending to family members.
• Meal stipends.
• Opportunity to join and help shape a growing global billing team in India.
• Exposure to AI-powered revenue cycle management and emerging healthcare technology.
• Opportunities for professional growth, increased ownership, and expanded responsibilities as the billing organization scales.
• Opportunity to contribute directly to process improvement, automation, and new product development.