AR Caller

Job Summary:

We are seeking experienced and energetic AR Callers to join our Revenue Cycle Management (RCM) team. The ideal candidate will be responsible for managing accounts receivable activities by following up with insurance companies to ensure timely and accurate reimbursement for healthcare claims. You will play a key role in identifying denials, resolving claim issues, and ensuring the financial success of our clients.

Key Roles and Responsibilities:

• Perform follow-up calls with insurance companies (US Healthcare payers) to resolve outstanding claims.
• Verify claim status, payment information, and identify reasons for delays or denials.
• Analyze and resolve claim denials by taking appropriate action or escalating complex issues as required.
• Work on denial management and appeals, ensuring timely submission and resolution.
• Identify root causes of denials and share feedback for process improvement.
• Maintain accurate documentation of all claim activities in the billing system.
• Communicate effectively with insurance representatives and internal departments.
• Achieve daily/weekly productivity targets and ensure adherence to quality standards.
• Stay updated on payer policies, coding guidelines, and industry regulations.

Required Skills & Competencies:

• Minimum 2 years of experience as an AR Caller in US Healthcare (Medical Billing) domain.
• Strong understanding of RCM process, insurance terminologies, CPT, ICD-10 codes, and EOBs.
• Excellent verbal and written communication skills.
• Strong analytical and problem-solving abilities.
• Proficiency in using medical billing software and MS Office tools.
• Ability to work independently and in a team within a fast-paced environment.
• Flexibility to work night shifts (US time zone).

Job Types: Full-time, Permanent

Pay: ₹200,000.00 - ₹300,000.00 per year

Benefits:

• Food provided
• Health insurance
• Provident Fund

Work Location: In person