AR Caller - Junior

Job Description

Job Title: AR Caller (Accounts Receivable Caller)Position Summary: The AR Caller is responsible for following up on unpaid or denied medical claims, working with insurance companies and patients to resolve outstanding accounts, and ensuring timely collections. The role includes analyzing account balances, identifying payment trends, and escalating complex issues to the appropriate departments. As a senior member of the team, the Senior AR Caller provides mentorship to junior team members and contributes to process improvements within the revenue cycle. Key Responsibilities: Accounts Receivable Follow-Up: Follow up with insurance companies on unpaid, underpaid, or denied claims through phone calls or electronic communication. Resolve outstanding AR by reviewing account details, verifying claim status, and ensuring timely payment. Research and refile corrected claims or appeal denied claims as necessary to maximize revenue collection. Claims Management: Review insurance payments, denials, and Explanation of Benefits (EOBs) to ensure accuracy and compliance with payer guidelines. Escalate complex or unresolvable claims issues to supervisors or appropriate departments. Ensure all necessary documentation and patient information is available for claim resolution. Communicate with billing and coding departments to resolve discrepancies related to coding and claim submissions. Insurance and Patient Communication: Communicate with insurance companies to verify the status of claims, appeal denied claims, and resolve payment issues. Contact patients regarding unpaid balances and assist them with payment options or resolving issues with their insurance provider. Compliance and Documentation: Ensure compliance with HIPAA, payer-specific regulations, and internal company policies. Maintain detailed records of all interactions with insurance companies and patients. Document follow-up actions and payment outcomes in the billing system for accurate tracking. Qualifications: Education: Bachelor's degree in healthcare administration, finance, or a related field (preferred). Experience: 1-4 years of experience in AR follow-up or medical billing in the U.S. healthcare industry. Strong understanding of healthcare billing and insurance claim processes (Medicare, Medicaid, and commercial insurances). Skills and Knowledge: In-depth knowledge of medical billing codes (ICD-10, CPT, and HCPCS), payer rules, and regulations. Proficient in billing software, Electronic Health Records (EHR), and Microsoft Office Suite (Excel, Word). Strong verbal and written communication skills for interacting with insurance companies, patients, and internal departments. Excellent analytical and problem-solving skills with the ability to manage complex claims. Ability to multitask and work efficiently in a fast-paced environment. Work Environment: Office-based Full-time position with standard business hours, though additional hours may be required to meet goals. Job Types: Full-time, Permanent Pay: ₹12,000.00 - ₹22,000.00 per month Benefits: Paid time off Schedule: Night shift US shift Ability to commute/relocate: Thanjavur, Tamil Nadu: Reliably commute or planning to relocate before starting work (Preferred) Language: English (Preferred) Location: Thanjavur, Tamil Nadu (Preferred) Shift availability: Night Shift (Preferred) Work Location: In person