AR Caller

Job Title: AR Caller (Accounts Receivable Caller)Department: Revenue Cycle Management (RCM) / US Healthcare ProcessJob Summary:

The AR Caller is responsible for following up on outstanding insurance claims to ensure timely payment and resolution. This role involves analyzing denied or unpaid claims, contacting insurance companies to determine claim status, and taking appropriate action to secure reimbursement.

Key Responsibilities:

• Make outbound calls to insurance companies (payers) to follow up on pending claims.
• Review outstanding claims and take necessary actions for resolution.
• Identify the reasons for denials or underpayments and initiate corrective measures.
• Ensure timely and accurate documentation of all call activities and claim updates in the billing system.
• Work collaboratively with the billing team to resolve rejections and ensure proper claim submission.
• Escalate complex issues to the team leader or manager for quick resolution.
• Meet daily, weekly, and monthly productivity and quality targets.
• Maintain confidentiality of patient information as per HIPAA guidelines.

Required Skills & Qualifications:

• Good communication skills (both verbal and written) in English.
• Knowledge of US healthcare insurance terminologies (Medicare, Medicaid, Commercial payers, etc.).
• Basic understanding of the revenue cycle process (charge entry, billing, payment posting, denial management).
• Ability to analyze and resolve claim-related issues efficiently.
• Typing speed and attention to detail.
• Comfortable working in night shifts (US shifts).

Educational Qualification:

• Any graduate (preferably in Commerce, Life Science, or Healthcare background).

Experience:

• Freshers: Basic knowledge of US healthcare preferred.
• Experienced: 6 months to 3 years of experience in AR calling or denial management.

Key Performance Indicators (KPIs):

• Number of calls made per day
• Claims resolved per day
• Reduction in aging days
• First call resolution rate
• Quality and accuracy of documentation

Job Types: Full-time, Permanent

Pay: ₹17,000.00 - ₹35,000.00 per month

Benefits:

• Provident Fund

Work Location: In person