AR Caller - US healthcare

Job Summary:

We are seeking a detail-oriented and Experienced AR Associate to join our revenue cycle management(RCM) team.

The ideal candidate will be responsible for performing analysis and follow-up on unpaid ordenied medical claims with U.S.-based insurance companies.

The role demands deep knowledge ofhealthcare reimbursement processes, excellent communication skills, and a proactive approach to ensuretimely and complete collection of accounts receivable.

Key Responsibilities:

Insurance Follow-Up & Collections

 Initiate outbound calls to insurance carriers to check the status of outstanding claims.

 Analyse reasons for claim delays, denials, or underpayments and take corrective actions.

 Follow up on claims via phone calls, web portals, and payer correspondence tools.

 Work claims from aging buckets (30/60/90/120+ days) to reduce outstanding AR.

2. Denial Management & Resolution

 Identify trends in denials such as eligibility issues, authorization lapses, incorrect coding, or missing documentation.

 Collaborate with internal billing or coding teams to reprocess or appeal denied claims.

 Initiate and track appeals, re-submissions, and corrected claims as necessary.

 Ensure timely handling of denials to prevent timely filing limits from being breached.

3. Documentation & System Updates

 Accurately document every call made, including representative details, outcome, and next stepsin the billing or practice management system.

 Maintain clear, concise, and up-to-date account notes to ensure transparency across the team.

 Update claim statuses and escalate unresolved issues for additional action.

4. Compliance & Quality Assurance

 Ensure all interactions comply with HIPAA and payer-specific requirements.

 Maintain a high call quality standard and meet internal compliance guidelines and client SOPs.

 Adhere strictly to privacy and data security protocols in every interaction.

5. Performance & Reporting

 Meet or exceed daily productivity benchmarks such as call volume, resolution rate, and aging reduction.

 Participate in team meetings, training sessions, and performance reviews.

 Provide feedback on payer behavior and denial trends to help refine process strategies.6.

Team Collaboration

 Work closely with Team Leads, QA, and other AR staff to resolve complex claims or systemic issues.

 Contribute to shared knowledge and assist peers with troubleshooting payer-specific challenges.

 Stay informed about payer policy changes and communicate relevant updates to the team.

Required Skills:

 Minimum 2 years of hands-on experience in AR calling and medical billing follow-up in the U.S. healthcare domain.

 Familiarity with insurance companies such as Medicare, Medicaid, and Commercial payers.

 Strong knowledge of denial codes, billing modifiers, CPT/ICD-10 coding basics.

 Proficiency in working with PMS/EHR systems (Athena, Epic, eClinicalWorks, etc.). Priorexperience on Advance MD will be an added advantage.

 Excellent communication skills in English (spoken and written).

 Good analytical, problem-solving, and negotiation skills.

 Flexible to work in U.S. shift hours (Night shifts, EST/PST depending on client).

Preferred Qualifications:

 Bachelor's degree in any discipline.

 Experience in multi-specialty billing (e.g., radiology, cardiology, DME).

 Prior experience in handling large-volume client accounts or working with offshore teams.

What We Offer:

 Competitive salary

 Health benefits (where applicable) and paid time off

 Career growth opportunities in a fast-growing company

 On-the-job training and performance-based rewards

 A professional and supportive work environment

To Apply: Send your updated resume to [email protected]

Job Type: Full-time

Pay: ₹18,000.00 - ₹28,000.00 per month

Benefits:

• Paid sick time
• Provident Fund

Experience:

• AR Caller: 1 year (Preferred)

Work Location: In person