Job
Description
This role is for one of the Weekday's clients Min Experience: 1 years Location: Hyderabad, Chennai, Bengaluru JobType: full-time We are seeking a dedicated and experiencedSenior Accounts Receivable (AR) Callerto join our growing healthcare revenue cycle team. The ideal candidate will be responsible for managing the accounts receivable process, with a strong focus on denial management and revenue cycle management (RCM). As a Senior AR Caller, you will play a critical role in improving cash flow, reducing aging AR, and ensuring prompt resolution of claims. This is an excellent opportunity for professionals with a strong understanding of the US healthcare billing process, EOBs, and insurance follow-up protocols. Requirements Key Responsibilities: Conduct outbound calls to insurance companies (payers) to follow up on pending or denied claims. Perform comprehensive analysis of denied or underpaid claims and identify appropriate actions for resolution. Review Explanation of Benefits (EOB), Remittance Advice (RA), and take necessary actions based on denial reason codes. Work on claims in accordance with standard operating procedures, client-specific guidelines, and payer rules. Collaborate with internal teams and clients to escalate unresolved claims and facilitate quicker collections. Maintain up-to-date documentation of account activity in the system and ensure accuracy of follow-up records. Achieve daily/weekly/monthly productivity and quality targets set by the management. Utilize knowledge of HIPAA compliance, CPT/ICD-10 codes, and payer-specific guidelines to ensure best practices are followed. Proactively identify trends in denials and underpayments to support process improvements and reduce future occurrences. Train and mentor junior AR callers when required, providing them with guidance on complex scenarios and payer-specific nuances. Required Skills and Qualifications: Minimum 1 year and up to 8 years of experience in AR calling within the US healthcare RCM industry. Strong understanding of Revenue Cycle Management (RCM) processes, including insurance follow-up, denial management, and payment posting. Hands-on experience working with healthcare billing systems and claims management platforms. In-depth knowledge of insurance payers (Medicare, Medicaid, Commercial Insurers), claim lifecycle, and denial codes. Excellent communication skills (verbal and written) and ability to interact with insurance representatives professionally. Strong analytical and problem-solving abilities to assess complex claim issues and recommend effective solutions. Proficient in Microsoft Office tools and medical billing software (e.g., EPIC, Athena, eClinicalWorks, Kareo, or similar). Ability to work independently and as part of a team in a fast-paced environment. Preferred Qualifications: Prior experience working in night shifts or US time zones. Certification in Medical Billing or RCM is a plus. Experience with end-to-end RCM process will be an added advantage.
