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

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: 2-5 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: ₹15,000.00 - ₹35,000.00 per month Benefits: Paid time off Schedule: Night shift US shift Ability to commute/relocate: Chennai District, Tamil Nadu: Reliably commute or planning to relocate before starting work (Preferred) Experience: AR caller: 2 years (Required) Language: English (Required) Shift availability: Night Shift (Required) Overnight Shift (Required) Work Location: In person Expected Start Date: 09/06/2025

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: 2-5 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: ₹15,000.00 - ₹35,000.00 per month Benefits: Paid time off Schedule: Night shift US shift Ability to commute/relocate: Chennai District, Tamil Nadu: Reliably commute or planning to relocate before starting work (Preferred) Experience: AR caller: 2 years (Required) Language: English (Required) Shift availability: Night Shift (Required) Overnight Shift (Required) Work Location: In person Expected Start Date: 09/06/2025

The RCM Operating Lead is responsible for overseeing the day-to-day operations of the Revenue Cycle Management team, ensuring optimal performance in medical billing, AR follow-up, denial management, and reimbursement processes. This role drives operational efficiency, team productivity, and compliance with payer and regulatory guidelines. The ideal candidate will have strong leadership, analytical, and process improvement skills within a healthcare billing environment. Key Responsibilities: Lead, manage, and optimize all operational functions within the RCM cycle including billing, coding, collections, denials, and payment posting. Monitor and analyze key performance indicators (KPIs) such as DSO, denial rates, clean claim rate, and collection effectiveness. Implement process improvements to enhance revenue capture and reduce claim denials and rejections. Coordinate with cross-functional teams (e.g., coding, credentialing, clinical, compliance) to resolve RCM-related issues. Develop and manage daily/weekly production targets and quality standards for AR callers, billers, and analysts. Provide guidance and mentorship to team leads and staff, fostering a culture of accountability and continuous improvement. Ensure compliance with HIPAA, payer policies, and federal/state regulations. Collaborate with clients (in a BPO or third-party RCM setting) to review performance, address escalations, and implement corrective actions. Lead training initiatives for new hires and ongoing education for team members. Prepare and present operational reports to senior leadership. Required Qualifications: Bachelor's degree or a related field (or equivalent experience). Minimum of 5 years in Revenue Cycle Management with at least 2 years in a leadership role and AR caller experience. Strong understanding of US healthcare payers, billing workflows, denials, and reimbursement mechanisms. Proficiency with RCM platforms (e.g., Athenahealth, eClinicalWorks, Epic, or similar). Excellent communication, organizational, and team management skills. Ability to thrive in a fast-paced, performance-driven environment. Job Type: Full-time Pay: ₹30,000.00 - ₹45,000.00 per month Schedule: Day shift US shift Work Location: In person

Job Title: AR Caller – Fresher Department: Revenue Cycle Management (RCM) Location: Thanjavur, Tamilnadu Job Type: Full-Time Experience: 0–1 Year (Freshers Welcome) Job Summary: We are looking for enthusiastic and self-motivated individuals to join our team as AR Callers (Account Receivable Callers) . As an AR Caller, you will be responsible for contacting insurance companies in the US to follow up on medical claims and resolve any issues for timely reimbursement. This is an excellent opportunity for freshers looking to build a career in the healthcare BPO industry. Good communication skills in English is must. Key Responsibilities: Make outbound calls to insurance companies to resolve claims and ensure proper payment. Follow up on unpaid/denied claims through phone calls or online portals. Understand insurance guidelines and interpret Explanation of Benefits (EOB). Analyze and resolve billing issues. Maintain accurate documentation of the claims process. Meet daily/weekly productivity and quality targets. Work closely with the team leader and quality analysts to improve performance. Adhere to company policies and HIPAA regulations. Required Skills: Good communication skills in English (verbal and written). Basic understanding of the US healthcare system is a plus. Willingness to work in night shifts (US shift). Strong analytical and problem-solving skills. Ability to work in a team environment and meet deadlines. Educational Qualification: Any graduate (B.E, BSc, BCom, BBA, BA, etc.) Benefits: On-the-job training Competitive salary Performance-based incentives Career growth opportunities Job Types: Full-time, Fresher Pay: ₹8,000.00 - ₹15,000.00 per month Schedule: Night shift US shift Work Location: In person

Job Title: AR Caller – Fresher Department: Revenue Cycle Management (RCM) Location: Thanjavur, Tamilnadu Job Type: Full-Time Experience: 0–1 Year (Freshers Welcome) Job Summary: We are looking for enthusiastic and self-motivated individuals to join our team as AR Callers (Account Receivable Callers) . As an AR Caller, you will be responsible for contacting insurance companies in the US to follow up on medical claims and resolve any issues for timely reimbursement. This is an excellent opportunity for freshers looking to build a career in the healthcare BPO industry. Good communication skills in English is must. Key Responsibilities: Make outbound calls to insurance companies to resolve claims and ensure proper payment. Follow up on unpaid/denied claims through phone calls or online portals. Understand insurance guidelines and interpret Explanation of Benefits (EOB). Analyze and resolve billing issues. Maintain accurate documentation of the claims process. Meet daily/weekly productivity and quality targets. Work closely with the team leader and quality analysts to improve performance. Adhere to company policies and HIPAA regulations. Required Skills: Good communication skills in English (verbal and written). Basic understanding of the US healthcare system is a plus. Willingness to work in night shifts (US shift). Strong analytical and problem-solving skills. Ability to work in a team environment and meet deadlines. Educational Qualification: Any graduate (B.E, BSc, BCom, BBA, BA, etc.) Benefits: On-the-job training Competitive salary Performance-based incentives Career growth opportunities Job Types: Full-time, Fresher Pay: ₹8,000.00 - ₹15,000.00 per month Schedule: Night shift US shift Work Location: In person

Job Description: We are seeking a skilled and detail-oriented E&M Medical Coder with over 3 years of hands-on experience in evaluation and management coding for physician billing. The ideal candidate will have a deep understanding of CPT, ICD-10, and HCPCS codes, and be proficient in ensuring accuracy and compliance with industry guidelines and payer policies. Key Responsibilities: Review physician documentation and assign accurate CPT, ICD-10, and HCPCS codes Ensure proper assignment of E/M levels based on medical necessity and documentation Stay current with CMS, AMA, and payer-specific coding updates Meet productivity and quality benchmarks as set by the QA team Collaborate with auditors and providers to resolve documentation or coding discrepancies Work on denials related to coding and support resolution processes Maintain strict confidentiality and HIPAA compliance ✅ Requirements: Minimum 3 years of E&M coding experience (outpatient or inpatient) Certification: CPC / CCS / COC (AAPC or AHIMA preferred) Solid understanding of 1995 & 1997 E/M guidelines , and 2021 E/M updates Knowledge of medical terminology, anatomy, and disease processes Proficiency in EHR systems (e.g., Epic, ECW, AdvancedMD) Strong attention to detail and analytical skills Good verbal and written communication skills Preferred Skills: Experience in multi-specialty E&M coding (e.g., internal medicine, Nursing Home) Exposure to denial management and appeals Experience working with US-based clients or providers Job Type: Full-time Pay: ₹15,000.00 - ₹28,000.00 per month Schedule: Day shift US shift Work Location: In person

We are seeking an experienced Revenue Cycle Management (RCM) Operating Manager to oversee daily operations, optimize processes, and lead a team of professionals responsible for the end-to-end revenue cycle. This role is essential for ensuring efficient, accurate, and compliant billing practices, maximizing revenue capture, and enhancing financial performance. The ideal candidate has a strong background in healthcare RCM, excellent analytical skills, and leadership experience in a fast-paced environment. Key Responsibilities Oversee RCM Operations: Manage all aspects of the revenue cycle, including patient registration, insurance verification, claims submission, payment posting, accounts receivable, and collections. Process Improvement: Identify inefficiencies in the RCM process and develop and implement strategic initiatives to streamline workflows and improve key performance indicators (KPIs). Compliance and Regulatory Adherence: Ensure compliance with healthcare regulations and payer policies. Keep updated with industry trends, Medicare/Medicaid regulations, and other payer guidelines. Team Leadership: Lead, train, and mentor a team of billing, coding, and collections specialists. Foster a culture of accountability, collaboration, and continuous learning. Data Analysis and Reporting: Use data to monitor RCM performance, identify trends, and create reports on productivity, collection rates, and other metrics. Present insights and recommendations to senior management. Stakeholder Collaboration: Collaborate with clinical, finance, and IT departments to align revenue cycle processes with overall business objectives and improve patient experience. Vendor Management: Manage relationships with third-party vendors and ensure that their services meet organizational standards and goals. Problem Resolution: Resolve complex billing issues, manage escalated cases, and work with payers to ensure timely payment. Required Qualifications Education: Bachelor’s degree in Healthcare Administration, Business, Finance, or related field (Master’s degree preferred). Experience: Minimum of 5 years in healthcare revenue cycle management, with at least 2 years in a supervisory or managerial role. Technical Skills: Proficiency with RCM software (e.g., Epic, Cerner, ECW or similar), Microsoft Office, and data analysis tools. Knowledge: In-depth knowledge of medical billing codes, claims processing, payer requirements, and healthcare regulations. Leadership Skills: Demonstrated ability to lead and motivate teams, drive performance, and manage through change. Analytical Skills: Strong problem-solving abilities, with experience in data-driven decision-making. Communication: Excellent verbal and written communication skills, with the ability to present complex information to various stakeholders. Preferred Qualifications Industry Knowledge: Familiarity with healthcare policies, including HIPAA, and an understanding of healthcare reform trends and impacts on revenue cycle management. Job Type: Full-time Pay: ₹40,000.00 - ₹55,000.00 per month Schedule: Day shift US shift Work Location: In person