Healthcare AR Caller

Job Title: Process Associate / Senior Process Associate

Department: Accounts Receivable
Work Shift: Night Shift

About the Role

We are looking for dedicated and detail-oriented Process Associates / Senior Process Associates to join our Accounts Receivable (AR) team. The role involves analyzing healthcare receivables, performing follow-ups with US insurance payers and patients, and ensuring timely reimbursement while maintaining compliance with US healthcare regulations.

Key Responsibilities

• Review patient accounts and perform appropriate follow-up actions to resolve outstanding balances in accordance with best practice standards.
• Analyze receivables due from healthcare insurance companies and initiate necessary follow-up actions for reimbursement.
• Perform voice and non-voice follow-ups with insurance payers regarding the status of outstanding claims.
• Prepare, complete, and submit claim forms in compliance with CMS and third-party payer guidelines.
• Manage denial and appeal processes by following established protocols.
• Contact patients and guarantors regarding outstanding self-pay balances.
• Draft and send correspondence to insurance payers, third parties, and patients related to claim resolution and appeals.
• Document all actions, communications, and updates accurately in Infinx or client host systems.
• Ensure strict adherence to HIPAA, patient confidentiality, and compliance requirements at all times.
• Research and stay updated on payer rules, regulations, and policy changes.
• Deliver service excellence to patients, clients, and internal stakeholders.
• Meet or exceed individual and team productivity, quality, and performance targets.

Required Qualifications

• Education:
• Minimum HSC / 10+2 or equivalent
• Any Graduate preferred
• Experience:
• 1–3 years of experience in the US healthcare calling / AR process

Skills & Competencies

• Experience in claims management and/or customer service preferred.
• Ability to maintain high levels of productivity, quality, and accuracy.
• Excellent written and verbal communication skills to represent Infinx clients professionally.
• Proficiency in Microsoft Office Suite and basic computer applications.
• Strong analytical, problem-solving, and multitasking abilities.
• Ability to work independently, remain resourceful, and manage multiple priorities effectively.

Work Environment

• Night shift role supporting US healthcare operations
• Fast-paced, performance-driven AR environment

Job Type: Full-time

Pay: ₹25,000.00 - ₹40,000.00 per month

Application Question(s):

• How many years of experience do you have as an AR Caller in the US Healthcare industry?
• Do you have hands-on experience working with Epic Software?
• Have you worked on CMS-1500 claims and reviewed US EOBs (Explanation of Benefits)?
• Do you have end-to-end experience in US Healthcare denial management?
• Are you familiar with US healthcare compliance requirements such as HIPAA?
• Are you comfortable making outbound calls to US-based insurance payers during US business hours?
• How would you rate your English communication skills (spoken and written)?
• Are you willing to work from the office at our Navi Mumbai (Turbhe) location?

Work Location: In person