RCM Specialist

Experience - 3-4 Years

Job Role- AR Caller

Location- Balewadi Highstreet

Key Responsibilities:

• Make outbound calls to insurance companies to follow up on outstanding claims.
• Review and resolve denials, rejections, and underpayments.
• Understand US healthcare billing, coding, modifiers, and submission guidelines.
• Analyze EOBs/ERAs and take appropriate action (re-submission, appeals, corrections).
• Update patient accounts with accurate notes based on call outcomes.
• Coordinate with internal teams to resolve coding, documentation, and eligibility issues.
• Meet daily/weekly productivity and quality targets.
• Maintain professionalism and follow compliance standards (HIPAA).

Required Skills & Qualifications:

• 3–4 years of experience as an AR Caller in US Medical Billing.
• Strong communication skills (verbal and written).
• Good understanding of RCM cycle: AR follow-up, denials, appeals, payer guidelines.
• Ability to handle complex claims, corrected claims, and multi-payer follow-ups.
• Familiarity with EMR systems, billing portals, and clearinghouses.