3Gen Consulting Services Pvt. Ltd

AR Caller / Senior AR Caller Department: Revenue Cycle Accounts Receivable Reporting To: Team Lead – Accounts Receivable Location: Pune (Work from Office) Job Type: Full-Time, Permanent Shift: US Shift / India Night Shift Role Overview: The AR Caller / Senior AR Caller will be responsible for managing Accounts Receivable (A/R) for US healthcare providers. The role involves calling insurance companies in the US to follow up on outstanding claims, resolving denials, and ensuring timely reimbursement. Senior AR Callers are additionally expected to support junior team members and lead process training as needed. Key Responsibilities: Review assigned claims and verify their status through phone calls, IVR systems, or web portals Call insurance companies in the US to follow up on outstanding A/R Identify and resolve issues such as denials, rejections, or underpayments Record detailed call notes and update actions on the client’s revenue cycle platform Initiate corrective measures by submitting required documents to payers Meet quality and productivity benchmarks as defined Understand and resolve denial codes and provide appropriate follow-ups Perform claim submissions via Electronic, Paper, or Direct Data Entry (DDE) Use client-specific call note standards for accurate documentation Additional Responsibilities for Senior AR Caller: Mentor and assist junior team members with queries and production improvement Train new or existing team members on client-specific processes Support the team lead with process improvements or escalations Job Requirements: For AR Caller: Minimum 1 year of experience in AR calling for US healthcare provider market For Senior AR Caller: Minimum 4 years of experience in AR calling for US healthcare provider market Strong understanding of Revenue Cycle Management (RCM) and Denial Management Familiarity with US healthcare insurance plans, HIPAA guidelines, Worker’s Comp, and No-Fault Prior experience with medical billing software preferred; client-specific training will be provided Excellent verbal and written communication skills in English Strong MS Office skills and ability to multitask effectively Excellent phone etiquette and documentation skills Education & Certification Requirements: Undergraduate, Graduate, and/or Postgraduate degree in any discipline