Accounts Receivable Executive - AR US Medical Billing
Job Title: Accounts Receivable (AR) Executive – US Medical Billing
Location: Chennai, Tamil Nadu (Work from Home)
Experience: 1–2 Years (US Medical Billing / RCM)
Shift: US Shift / Night Shift
Employment Type: Full-Time
Candidates must be based in Chennai only. Applications from other locations will not be considered.
About the Role
We are hiring an experienced Accounts Receivable Executive to join Oaklee Wellness Inc and our US Healthcare Revenue Cycle Management (RCM) team. The ideal candidate has hands-on experience in AR follow-up, denial management, insurance verification, and prior authorization/referral processing, with a solid understanding of the US medical billing lifecycle.Key Responsibilities
- Follow up with US insurance companies (payers) on outstanding and unpaid claims via calls, payer portals, and IVR.
- Analyze and work on aging reports across 30/60/90/120+ day buckets to reduce outstanding AR.
- Handle denial management — identify denial reasons, take corrective action, and re-submit or appeal claims.
- Perform insurance eligibility and benefits verification for patients prior to service.
- Obtain and process prior authorizations and referrals, and coordinate with providers and payers as needed.
- Review EOBs/ERAs to identify underpayments, short payments, and adjustments.
- Document all account activity accurately in the billing software as per client and process guidelines.
- Meet daily/weekly productivity and quality targets while maintaining strict HIPAA compliance.
- Coordinate with the coding and charge-entry teams to resolve claim discrepancies.
- 1–2 years of experience in US Medical Billing / AR Follow-up (physician and/or hospital billing).
- Working knowledge of the RCM cycle: charge entry, claim submission, payment posting, denials, and AR.
- Experience with insurance verification (eligibility & benefits) and referral/authorization processes.
- Familiarity with CPT, ICD-10, and HCPCS codes and standard denial codes (CARC/RARC).
- Understanding of major US payers (Medicare, Medicaid, commercial insurance) and clearinghouses.
- Good verbal and written English communication skills (comfortable making payer calls).
- Proficiency with billing software (e.g., [your software – eClinicalWorks]) and MS Excel.
- Willingness to work in US/night shifts.
- Prior experience specifically in authorization/referral and insurance verification workflows.
- Exposure to specialty billing (Primary care physician)
Please mention your current location, experience, notice period and CTC..!!
Pay: ₹25,000.00 - ₹30,000.00 per month
