AR Caller / AR Follow-Up (RCM) - Senior Executive

Role Overview Neolytix is seeking a skilled and experienced AR Denials Senior Executive to join its Revenue Cycle Management (RCM) team in Gurugram. This full-time, work-from-office role is ideal for professionals with a proven background in US Healthcare Accounts Receivable follow-up and denial management. The successful candidate will play a critical role in ensuring timely claim resolution, denial recovery, and strict adherence to HIPAA compliance standards. Key Responsibilities In this role, you will manage end-to-end AR follow-up with a strong emphasis on denial resolution and recovery. You will be responsible for analyzing various denial categories such as No Authorization, Duplicate, Bundled, Inclusive, Coordination of Benefits (COB), Non-Covered, Medical Necessity, and Timely Filing. You will liaise directly with insurance companies to verify claim statuses, understand payer-specific denial reasons, and execute corrective actions. The role also involves verifying patient registration details and insurance information, communicating billing or coding discrepancies to clients, and submitting claims electronically and via paper through billing software. Additionally, you will research and appeal denied or rejected claims, perform eligibility and benefit verification, process ERA and EOB payments, and ensure all documentation is accurately maintained in the system. Required Qualifications To be considered for this position, candidates must hold a graduate degree and bring a minimum of two years of hands-on experience in US Healthcare AR follow-up and denial management. A solid grasp of payer policies including Medicare, Medicaid, HMO, PPO, and commercial insurance plans is essential. Candidates should be well-versed in charge entry, claim submission, payment posting, and the interpretation of superbills and medical billing data. Strong verbal and written communication skills, attention to detail, and the ability to manage multiple tasks while meeting productivity benchmarks are required. Knowledge of HIPAA regulations and experience handling Protected Health Information (PHI) is mandatory. Familiarity with credentialing processes is considered an added advantage. Why Join Us Neolytix offers a stable and collaborative work environment where professionals can deepen their expertise in the healthcare RCM domain. Employees benefit from competitive compensation packages supplemented by performance-based incentives, along with ongoing opportunities for skill development and career progression within a growing organization.

Minimum 2 years of hands-on experience in US Healthcare AR follow-up and Denial Management Strong knowledge of denial types including No Auth, COB, Bundled, Duplicate, Inclusive, and payer-specific denial reasons Familiarity with payer rules, coordination of benefits, and the claims appeals process Experience with charge entry, claim submission, and payment posting including ERA and EOB Ability to read and interpret superbills and medical billing documentation Proficiency in working with billing software for both electronic and paper claim submissions Knowledge of insurance payer policies including Medicare, Medicaid, HMO, PPO, and commercial plans Strong verbal and written communication skills in English Detail-oriented with the ability to multitask and consistently meet productivity targets Proficient in handling Protected Health Information (PHI) in compliance with HIPAA regulations Familiarity with credentialing processes is a plus Any graduate or postgraduate degree

Competitive compensation package Performance-based incentive structure Opportunities for skill development and advancement in the healthcare RCM domain Stable and professional work environment Collaborative team culture with a focus on career growth