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Flatworld Healthcare Services Private Limited
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Subject Matter Expert -AR Calling

Subject Matter Expert -AR Calling

Flatworld Healthcare Services Private Limited

3 - 7 years

3 - 4 Lacs

Bengaluru

Posted:1 day ago| Platform:

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Skills Required

Subject Matter Expertise AR Calling SME Denial Management Authorization Revenue Cycle Management Eligibility Verification Denial Handling US Healthcare Denials Medical Billing RCM

Work Mode

Work from Office

Job Type

Full Time

Job Description

Hi Applicants !!

Greetings from Flatworld Healthcare Service !!

Hiring for Subject Matter Expert (SME) - AR Caller

Department:

Location:

Experience:

Roles and Responsibility :

Act as a knowledge resource for AR callers handling complex denials, rejections, and aged claims.
Resolve high-value or critical accounts and assist with escalated payer issues.
Analyze EOBs/ERAs and guide on next steps for denied or underpaid claims.
Understand and interpret payer-specific guidelines (e.g., Medicare, Medicaid, BCBS, Aetna).
Support the team in crafting effective appeals, reconsiderations, and dispute letters.
Identify denial trends and assist in root cause analysis to prevent recurrence.
Train new AR callers on provider-specific policies, systems, and payer rules.
Participate in internal review meetings and client calls (if offshore).

Skills & Qualifications:

3-6 years of experience in AR Calling (Provider side), with strong knowledge of US healthcare RCM.
In-depth understanding of CPT/ICD codes, modifiers, EOBs, ERAs, and claim adjudication.
Experience with EMRs and billing software (e.g., Athena, Epic, Allscripts).
Excellent communication, leadership, and problem-solving skills.
Proficiency in Excel and AR reporting tools.

Thanks & Regards
DanujaHR Flatworld Healthcare Solutions

Contact 9035473862
Email: danuja.s@flatworldsolutions.in / danuja.s@finnastra.com

Web: www.flatworldsolutions.com

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