Accounts Receivable Specialist

Abacos Health Private Limited

About the Role

We are looking for a motivated Accounts Receivable Specialist to join our Revenue Cycle Management (RCM) team. The candidate will assist in medical billing processes, claim follow-ups, and resolving insurance-related queries to ensure timely reimbursement from insurance companies.

Shift: US Shift (Night Shift)

Working Days: 5 Days Working

Location: Satellite, Ahmedabad

Key Responsibilities

• Billing Responsibilities
• Prepare and submit medical claims to insurance companies using billing software.
• Ensure patient demographic and insurance details are accurate before claim submission.
• Review claims for completeness and compliance before submitting to clearinghouses.
• Maintain accurate billing records and documentation.
• AR Responsibilities
• Follow up with insurance companies regarding unpaid or denied claims.
• Analyze EOB (Explanation of Benefits) and ERA (Electronic Remittance Advice) to identify claim status.
• Identify denial reasons and assist in resubmitting corrected claims.
• Coordinate with internal teams to resolve billing discrepancies.
• Additional Responsibilities
• Maintain records of claim follow-ups and payment updates.
• Communicate with insurance representatives through calls or portals.
• Ensure compliance with healthcare billing guidelines and company policies.
• Meet daily productivity and quality targets set by management.

Requirements & Tech Stack

• Required Skills
• Basic understanding of medical billing and US healthcare processes (preferred).
• Good communication skills (verbal and written English).
• Strong analytical and problem-solving skills.
• Attention to detail and accuracy in data entry.
• Basic knowledge of MS Excel and computer applications.
• Eligibility Criteria
• Graduate in Commerce, Management, Life Science, Pharmacy, or any related field.
• Freshers are welcome to apply.
• Good communication skills and willingness to work in US Night Shift.
• Preferred Knowledge (optional)
• Knowledge of CPT, ICD‑10, and HCPCS codes.
• Understanding of RCM (Revenue Cycle Management) process.
• Exposure to healthcare billing software or insurance processes.