Senior Associate Claims Management (US Healthcare)
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What you'll do
- Call US-based insurance companies on behalf of our clients (physicians and healthcare providers) to follow up on outstanding accounts receivable.
- Review and prioritize pending claims from the aging report for follow-up.
- Negotiate and secure payment from payers on outstanding and underpaid claims.
- Verify the accuracy and completeness of patient insurance information; resolve any unclear or inadequate details.
- Review provider claims denied or not paid by insurance companies, identify root causes, and take corrective actions.
- Escalate complex or high-risk collection issues to management in a timely and structured manner.
- Handle patient billing inquiries professionally and update patient account information as required.
- Maintain detailed and accurate documentation of all interactions and actions taken on claims.
What they're looking for
- Minimum 3 years of experience in US Healthcare RCM, specifically in Claims Management, Accounts Receivable, and Denials management.
- Graduate degree is mandatory.
- Willing and able to work in night shift (US time zones).
- Excellent spoken English with a neutral/global accent; ability to communicate clearly and confidently with US stakeholders.
Nice to have
- Experience with RCM/billing systems is an advantage.
Summarised by NextRaise from the employer’s description, which follows in full below.
Full description from employer
Senior Associate Claims Management (US Healthcare)
Location: Noida (Onsite) | Shift: Night (US hours)
CompuGroup Medical is a three-time consecutive Best in KLAS winner for RCM. We provide a full spectrum of Revenue Cycle Management (RCM) and BPO services. Our teams work with leading technologies and proven processes, and we invest heavily in training, development, and career growth. As an innovator and leader in e-health services, we offer unparalleled opportunities to build a long-term career in the US healthcare domain.
Key Responsibilities:
As a Senior Associate in Claims Management, you will be responsible for end-to-end management of US healthcare claims and accounts receivable, serving physician practices and healthcare providers. You will play a critical role in ensuring timely reimbursement, minimizing denials, and maintaining excellent relationships with payers and patients.
Call US-based insurance companies on behalf of our clients (physicians and healthcare providers) to follow up on outstanding accounts receivable.
- Review and prioritize pending claims from the aging report for follow-up.
- Negotiate and secure payment from payers on outstanding and underpaid claims.
- Verify the accuracy and completeness of patient insurance information; resolve any unclear or inadequate details.
- Review provider claims denied or not paid by insurance companies, identify root causes, and take corrective actions.
- Escalate complex or high-risk collection issues to management in a timely and structured manner.
- Handle patient billing inquiries professionally and update patient account information as required.
- Maintain detailed and accurate documentation of all interactions and actions taken on claims.
Ideal Candidate Profile:
- Minimum 3 years of experience in US Healthcare RCM, specifically in Claims Management, Accounts Receivable, and Denials management.
- Graduate degree is mandatory.
- Willing and able to work in night shift (US time zones).
- Excellent spoken English with a neutral/global accent; ability to communicate clearly and confidently with US stakeholders.
- Strong listening skills and professional phone etiquette.
- Good computer skills (including Microsoft Office); experience with RCM/billing systems is an advantage.
- Strong prioritization, analytical, and problem-solving skills; able to manage a high-volume work queue.
What You Can Expect:
- Comprehensive Benefits: Group health and accidental insurance.
- Structured Onboarding: Digital application process and systematic training.
- Engaging Work Culture: Regular engagement activities and a collaborative environment.
- Career Growth: Clear progression opportunities and performance-based increments.
- High-Performing Team: Work with a focused, supportive, and quality-driven team.
- Onsite, Human-Centric Work: In-person collaboration at our Noida office.
- Transport & Meals: Transport allowance or company transport, plus subsidized meals.
Convinced? Submit your application now! Please make sure to include your salary expectations as well as your earliest possible hire date.
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Company
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