Accounts Receivable (AR) Specialist (Revenue Cycle Management) Full Time

About our customer – OnCare360

OnCare360 is a healthcare technology company delivering post-discharge care management and continuity-of-care solutions for Physician groups and Health systems. We combine a between-visits care platform, certified care navigators, and revenue cycle management services to help physician groups and hospitals improve patient outcomes and financial performance. Our RCM team partners with healthcare clients across the US to ensure providers are paid accurately and on time for the care they deliver.

Role

Accounts Receivable management is a critical function within OnCare360’s Revenue Cycle Management (RCM) team. We’re seeking a detail-oriented and experienced AR Specialist to manage payment reconciliation and follow up on unpaid or denied medical claims. Your primary goal is to ensure our customers — physician groups and healthcare clients — receive timely and accurate payment for the services they’ve rendered.

The core of the role is direct follow-up with insurance companies: calling payers to check claim status, understand why a claim was denied or underpaid, and driving each issue to resolution through corrections, appeals, and negotiation. You’ll need strong analytical and problem-solving skills, meticulous documentation habits, and the ability to work independently in a fast-paced, deadline-driven environment.

Key Responsibilities

• Call insurance companies to check claim status, determine reasons for denials or underpayments, and initiate appeals where needed
• Manage the AR process for assigned clients, ensuring accurate and timely billing, payment posting, and collections
• Review and analyze AR aging reports to identify delinquent accounts and resolve outstanding balances
• Analyze denial reasons — incorrect coding, missing information, lack of authorization — and take the necessary steps to correct and resubmit claims
• Prepare and submit claims and appeals to insurance companies, ensuring compliance with payer requirements and industry regulations
• Reconcile postings daily and generate weekly AR performance reports for management and clients
• Collaborate with internal teams — medical coders, billers, and product team — to resolve discrepancies and streamline the billing process
• Maintain accurate, up-to-date records of all claim interactions, payment history, adjustments, and collections efforts
• Experience in using AI tools like Gemini/Claude would be a plus

What You Bring

• Minimum 5 years of experience in healthcare revenue cycle management, with a focus on accounts receivable
• Strong knowledge of medical billing and coding processes, including CPT, ICD-10, and HCPCS codes
• Hands-on experience with reconciliation from ERA/EOBs and payment posting in EHR systems
• Proficiency with EHRs such as Athena, eClinicalWorks, and NextGen, plus the Microsoft Office Suite
• Excellent attention to detail and accuracy, with the ability to analyze and interpret complex billing and payment data
• Excellent verbal and written English, with the confidence to communicate effectively with US insurance companies, clients, and internal stakeholders
• Knowledge of industry regulations, including HIPAA, Medicare and CMS guidelines
• Ability to work independently and prioritize tasks in a fast-paced, deadline-driven environment

Position Details

• Full-time role
• Compensation: Competitive, depending on experience
• Schedule: 4PM–12AM IST
• On-site role — must work from our office in Building 10, Mindspace, Hyderabad

If you are interested, please send your latest profile to alex.miller@oncare360.net including your LinkedIn profile.