Accounts Receivable Associate

2 years

0 Lacs

Posted:1 day ago| Platform: SimplyHired logo

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Work Mode

On-site

Job Type

Full Time

Job Description

Company Description

BETSOL is a cloud-first digital transformation and data management company offering products and IT services to enterprises in over 40 countries. BETSOL team holds several engineering patents, is recognized with industry awards, and BETSOL maintains a net promoter score that is 2x the industry average. BETSOL’s open-source backup and recovery product line, Zmanda (Zmanda.com), delivers up to 80% savings in total cost of ownership (TCO) and best-in-class performance. BETSOL Global IT Services (BETSOL.com) builds and supports end-to-end enterprise solutions, reducing time-to-market for its customers. BETSOL offices are set against the vibrant backdrops of Broomfield, Colorado and Bangalore, India. We take pride in being an employee-centric organization, offering comprehensive health insurance, competitive salaries, 401K, volunteer programs, and scholarship opportunities. Office amenities include a fitness center, cafe, and recreational facilities. Learn more at betsol.com.

Key Responsibilities:

  • End-to-end follow-up on insurance claims via phone calls and/or payer portals.
  • Analyze and resolve denials and rejections received from payers (CARC/RARC codes interpretation).
  • Perform root cause analysis and take corrective action for recurring denial trends.
  • Ensure timely re-submission, appeals, and escalations for denied claims.
  • Maintain accurate documentation of all activities performed in the billing system.
  • Meet daily, weekly, and monthly productivity and quality benchmarks.
  • Collaborate with billing, coding, and patient access teams to fix front-end issues causing denials.
  • Work on denial worklists, aging reports, and assigned inventory efficiently.
  • Maintain up-to-date knowledge of payer policies, regulatory changes, and industry best practices.
  • Provide feedback to Team Leads/Supervisors on process gaps and potential improvement areas.

Required Skills & Qualifications:

  • Minimum 2+ years of experience in US Healthcare AR and Denial Management.
  • Strong understanding of medical billing terminologies, CPT/ICD codes, and payer guidelines.
  • Hands-on experience with billing platforms (Athena, eClinicalWorks, Epic, In-Sync etc.) is preferred.
  • Good understanding of HIPAA compliance and patient confidentiality.
  • Strong communication skills – verbal and written (especially for payer calls).
  • An analytical and problem-solving mindset to investigate and resolve complex denials.
  • Ability to work independently and collaboratively in a high-volume environment.

Additional Information

All your information will be kept confidential according to EEO guidelines.

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