Job Description

Job Title: Process Associate / Senior Process Associate

Department:

Accounts Receivable

Work Shift:

Night Shift

About the Role

We are looking for dedicated and detail-oriented

Process Associates / Senior Process Associates

to join our

Accounts Receivable (AR)

team. The role involves analyzing healthcare receivables, performing follow-ups with US insurance payers and patients, and ensuring timely reimbursement while maintaining compliance with US healthcare regulations.

Key Responsibilities

Review patient accounts and perform appropriate follow-up actions to resolve outstanding balances in accordance with best practice standards. Analyze receivables due from healthcare insurance companies and initiate necessary follow-up actions for reimbursement. Perform

voice and non-voice follow-ups

with insurance payers regarding the status of outstanding claims. Prepare, complete, and submit claim forms in compliance with

CMS and third-party payer guidelines

. Manage denial and appeal processes by following established protocols. Contact patients and guarantors regarding outstanding

self-pay balances

. Draft and send correspondence to insurance payers, third parties, and patients related to claim resolution and appeals. Document all actions, communications, and updates accurately in

Infinx or client host systems

. Ensure strict adherence to

HIPAA

, patient confidentiality, and compliance requirements at all times. Research and stay updated on payer rules, regulations, and policy changes. Deliver service excellence to patients, clients, and internal stakeholders. Meet or exceed individual and team productivity, quality, and performance targets.

Required Qualifications

Education:

Minimum

HSC / 10+2 or equivalent

Any Graduate preferred

Experience:

1-3 years of experience

in the

US healthcare calling / AR process

Skills & Competencies

Experience in

claims management

and/or

customer service

preferred. Ability to maintain high levels of

productivity, quality, and accuracy

. Excellent

written and verbal communication skills

to represent Infinx clients professionally. Proficiency in

Microsoft Office Suite

and basic computer applications. Strong analytical, problem-solving, and multitasking abilities. Ability to work

independently

, remain resourceful, and manage multiple priorities effectively.

Work Environment

Night shift role supporting

US healthcare operations

Fast-paced, performance-driven AR environment
Job Type: Full-time

Pay: ₹25,000.00 - ₹40,000.00 per month

Application Question(s):

How many years of experience do you have as an AR Caller in the US Healthcare industry? Do you have hands-on experience working with Epic Software? Have you worked on CMS-1500 claims and reviewed US EOBs (Explanation of Benefits)? Do you have end-to-end experience in US Healthcare denial management? Are you familiar with US healthcare compliance requirements such as HIPAA? Are you comfortable making outbound calls to US-based insurance payers during US business hours? How would you rate your English communication skills (spoken and written)? Are you willing to work from the office at our Navi Mumbai (Turbhe) location?
Work Location: In person