Healthcare AR Caller

Job Title: US Healthcare AR Caller

Location:

About the Role

Accounts Receivable (AR) Callers

Key Responsibilities

• Claim Follow-Up & Resolution:

• Proactively contact US-based insurance payers via phone to follow up on outstanding medical claims and ensure prompt payment.

• Form Preparation & Submission:

• Accurately prepare and submit claim forms in compliance with

  CMS-1500, UB-04, CMS guidelines

  , and third-party payer requirements.

• Denial Management:

• Analyze, manage, and resolve claim denials using comprehensive end-to-end denial management knowledge within the US healthcare framework.

• Compliance & Documentation:

• Ensure all activities comply with US healthcare regulations, including

  HIPAA

  , and maintain accurate documentation of payer communications and follow-up actions in the billing system.

• Service Excellence:

• Maintain a high level of professionalism while interacting with internal teams, clients, and US-based payer representatives.

Required Qualifications & Skills

Experience

• 12 years

  of proven experience as an

  AR Caller

  in the

  US Healthcare industry

  .

• Mandatory hands-on experience with Epic Software

  .
• Experience working with

  CMS-1500 claims

  and

  US EOBs (Explanation of Benefits)

  .

Education

• Any

  Graduate degree

  .

Skills & Knowledge

• Strong end-to-end knowledge of

  US healthcare denial management processes

  .
• Familiarity with

  US medical billing codes

  and payer guidelines.
• Excellent

  verbal communication

  , analytical, and problem-solving skills.
• Professional command of

  spoken and written English