Job Summary
We are looking for a proactive and detail-oriented AR Caller cum Analyst to manage insurance accounts receivable, perform follow-ups with insurance payers, analyze claim denials, and identify opportunities to improve collections. The ideal candidate will combine strong communication skills with analytical abilities to maximize reimbursements and reduce outstanding accounts receivable.
Key Responsibilities
- Perform outbound calls to insurance companies to follow up on unpaid, underpaid, or denied medical claims.
- Analyze claim status and identify the root cause of payment delays, denials, or rejections.
- Resolve claim issues by coordinating with insurance representatives and internal teams.
- Review Explanation of Benefits (EOBs), Electronic Remittance Advice (ERA), and payer correspondence.
- Prepare and submit appeals for denied or underpaid claims with appropriate supporting documentation.
- Prioritize accounts based on aging, payer requirements, and collection opportunities.
- Maintain accurate documentation of call outcomes and account activities in the billing system.
- Monitor accounts receivable aging reports and recommend actions to improve collections.
- Identify recurring denial trends and provide insights for process improvement.
- Prepare productivity, denial, and collection reports for management.
- Ensure compliance with HIPAA, payer guidelines, and organizational policies.
- Meet daily productivity, quality, and collection targets.
Required Qualifications
- Bachelor's degree in any discipline.
- 2–5 years of experience as an AR Caller in US Healthcare Revenue Cycle Management.
- Strong understanding of the medical billing cycle, insurance follow-up, and accounts receivable management.
- Experience handling commercial insurance, Medicare, and Medicaid claims.
- Ability to interpret EOBs, ERAs, payer policies, and denial codes.
- Excellent verbal communication and negotiation skills.
- Strong analytical and problem-solving abilities.
- Proficiency in Microsoft Excel and healthcare billing software.
- Experience with Veradigm or other healthcare practice management/EHR systems is an added advantage.
Preferred Skills
- Knowledge of ICD-10, CPT, and HCPCS coding concepts.
- Understanding of denial management and appeals processes.
- Strong analytical skills to identify trends and improve collection performance.
- Ability to work independently while collaborating effectively with cross-functional teams.
- Excellent time management and organizational skills.
- High attention to detail and accuracy.
Key Performance Indicators (KPIs)
- Collection percentage and recovery of outstanding AR.
- Daily productivity (accounts worked and calls completed).
- First-pass resolution rate.
- Denial resolution and appeal success rate.
- Reduction in aging accounts (60/90/120+ days).
- Quality and accuracy of account documentation.
- Compliance with turnaround time (TAT) and quality standards.
Compensation
Salary: As per company standards and candidate experience.
Reporting To
AR Team Lead / Assistant Manager – Accounts Receivable / Operations Manager
Pay: ₹20,000.00 - ₹40,000.00 per month
Work Location: In person
