- Location
- Gurugram, Haryana
- Workplace
- Onsite
- Type
- Full-time
- Seniority
- Entry
- Experience
- 1+ years
- Closing date
- Today
- Source
- ApplyToJob
Description
| NEOLYTIX Associate / Sr Associate – AR (RCM) Accounts Receivable & Denials · US Healthcare |
| LEVEL Associate / Sr Associate | EXPERIENCE 1+ Yr / 3–4 Yrs | LOCATION Gurugram (Onsite) | SHIFT Night (US Hours) |
| Two openings, one team — Associate requires a minimum of 1 year in US healthcare AR calling; Senior Associate requires 3–4 years with denials depth. Apply to the level that matches your experience. |
Associates own payer follow-up and claim-status resolution on assigned buckets. Senior Associates handle complex denials, appeals, and aged AR, and act as first-line quality support for the pod.
- Work assigned AR buckets — call US payers on claim status, underpayments, and non-payment, and document actions clearly in the billing system.
- Analyze EOBs/ERAs, identify denial reasons (CARC/RARC), and take corrective action — rebill, reprocess, or escalate.
- Meet daily productivity and quality targets (claims worked, resolution rate, call quality).
- Maintain HIPAA-compliant handling of PHI at all times.
- Own complex denials and appeals — draft appeal letters, track appeal TAT, and follow through to overturn.
- Work aged AR (90+/120+) with root-cause notes that feed prevention, not just recovery.
- Support the TL on quality — spot-check documentation, coach new associates on payer-specific nuances.
- Associate: minimum 1 year in US healthcare AR calling (provider side). Sr Associate: 3–4 years with hands-on denials and appeals work.
- Working knowledge of the US revenue cycle — claim lifecycle, EOB/ERA reading, denial codes (CARC/RARC), and timely-filing rules.
- Experience on practice-management / EHR platforms — Epic, AdvancedMD, or Athena Health preferred; similar platforms considered.
- Multi-specialty physician-group experience.
- Exposure to both government (Medicare/Medicaid) and commercial payers.
- Education: Bachelor’s degree (any discipline) is mandatory and must be completed — candidates currently pursuing a degree, or with an incomplete/dropped graduation, are not eligible.
- Communication: Voice-facing role — excellent spoken English with a clear, neutral accent and confident US payer-call handling, plus good written English for accurate documentation.
- Work mode & shift: Onsite at Gurugram, 5 days a week, on a fixed night (US-hours) shift — reliable attendance, punctuality, and roster adherence are essential.
- Systems: Comfortable working in billing/EHR platforms and MS Office; good computer proficiency and clear note-writing.
- Notice period: Immediate joiners or candidates on short notice strongly preferred.
- Claims worked per day (productivity target).
- Resolution / collection rate on assigned buckets.
- Call and documentation quality score (from QA audits).
- Aged-AR (90+/120+) reduction and denial-overturn rate (Sr Associate).
- HR Screening
- 2 Technical Interviews
- Assessment Round
- HR discussion (fitment, shift, salary).
| US Healthcare Depth Live US provider accounts across 270+ client organizations — real RCM, not a training bench. | Clear Growth Path Associate → Sr Associate → QA / SME / TL → AM: progression tied to performance. |
| Multi-Platform Exposure Hands-on across Epic, AdvancedMD, AthenaHealth, and more — skills that travel. | Stable, Growing MSO A fast-growing US-headquartered organization with centres in Chicago, Gurugram, and Manila. |