AR Caller

Job Title: AR Caller (Accounts Receivable – US Healthcare Process)
Job Type: Full-time
Location: Ahmedabad

Job Summary

We are seeking a detail-oriented and proactive AR Caller to join our growing Revenue Cycle team. As an AR Caller, you will be responsible for managing the accounts receivable process, following up on pending or denied claims, and ensuring timely reimbursement for services rendered by the healthcare providers we support.

Key Responsibilities

• Claims Processing: Review and process medical claims by verifying insurance coverage, ensuring accurate medical coding, and submitting claims to insurance payers.
• Follow-up on Outstanding Claims: Proactively follow up with insurance companies and patients via calls, emails, or portals to secure payments on pending claims.
• Denial Management: Investigate reasons for claim denials, correct errors, and resubmit claims with supporting documentation.
• Payment Posting: Accurately post payments received from insurance payers and patients into the billing system.
• Appeals: Prepare and submit appeals for rejected or denied claims with relevant documentation and justifications.
• Patient Communication: Interact with patients to explain billing issues, insurance coverage, balances, and set up payment plans if required.
• Documentation & Reporting: Maintain detailed and accurate records of all claim activities, communications, and generate periodic reports.
• Compliance: Adhere to HIPAA guidelines and all applicable billing and insurance regulations.
• Team Collaboration: Work closely with coders, billing specialists, and other team members to resolve issues and optimize revenue cycle performance.

Required Skills & Qualifications

• Strong understanding of US healthcare revenue cycle and insurance guidelines.
• Excellent verbal and written communication skills in English.
• Proficiency in billing software, medical terminology, and coding practices.
• Ability to multitask, work independently, and meet deadlines in a dynamic environment.
• Attention to detail and problem-solving abilities.

Preferred Qualifications

• Bachelor’s degree (preferred).
• Minimum 1 year of experience in any of the following:
• Technical Support
• Tele Sales
• AR Calling or Revenue Cycle Management
• Language Proficiency:
• English (Required)
• Hindi (Preferred)

Work Schedule

• Shifts Available:
• Evening Shift / US Shift
• Working Days: Monday to Friday

Benefits

• Provident Fund (PF)
• Joining Bonus
• Performance-based Incentives

Job Types: Full-time, Permanent

Pay: ₹25,000.00 - ₹36,384.53 per month

Benefits:

• Leave encashment
• Paid sick time
• Paid time off
• Provident Fund

Work Location: In person