Job Summary:
We are seeking a detail-oriented and Experienced AR Caller to join our revenue cycle management(RCM) team.
The ideal candidate will be responsible for performing analysis and follow-up on unpaid or denied medical claims with U.S.-based insurance companies.
The role demands deep knowledge of healthcare reimbursement processes, excellent communication skills, and a proactive approach to ensure timely and complete collection of accounts receivable.
Key Responsibilities:
Insurance Follow-Up & Collections
Initiate outbound calls to insurance carriers to check the status of outstanding claims.
Analyse reasons for claim delays, denials, or underpayments and take corrective actions.
Follow up on claims via phone calls, web portals, and payer correspondence tools.
Work claims from aging buckets (30/60/90/120+ days) to reduce outstanding AR.
2. Denial Management & Resolution
Identify trends in denials such as eligibility issues, authorization lapses, incorrect coding, or missing documentation.
Collaborate with internal billing or coding teams to reprocess or appeal denied claims.
Initiate and track appeals, re-submissions, and corrected claims as necessary.
Ensure timely handling of denials to prevent timely filing limits from being breached.
3. Documentation & System Updates
Accurately document every call made, including representative details, outcome, and next stepsin the billing or practice management system.
Maintain clear, concise, and up-to-date account notes to ensure transparency across the team.
Update claim statuses and escalate unresolved issues for additional action.
4. Compliance & Quality Assurance
Ensure all interactions comply with HIPAA and payer-specific requirements.
Maintain a high call quality standard and meet internal compliance guidelines and client SOPs.
Adhere strictly to privacy and data security protocols in every interaction.
5. Performance & Reporting
Meet or exceed daily productivity benchmarks such as call volume, resolution rate, and aging reduction.
Participate in team meetings, training sessions, and performance reviews.
Provide feedback on payer behavior and denial trends to help refine process strategies.6.
Team Collaboration
Work closely with Team Leads, QA, and other AR staff to resolve complex claims or systemic issues.
Contribute to shared knowledge and assist peers with troubleshooting payer-specific challenges.
Stay informed about payer policy changes and communicate relevant updates to the team.
Required Skills:
Minimum 1 year to 5 years of hands-on experience in AR calling and medical billing follow-up in the U.S. healthcare domain.
Familiarity with insurance companies such as Medicare, Medicaid, and Commercial payers.
Strong knowledge of denial codes, billing modifiers, CPT/ICD-10 coding basics.
Proficiency in working with PMS/EHR systems (Athena, Epic, eClinicalWorks, etc.). Priorexperience on Advance MD will be an added advantage.
Excellent communication skills in English (spoken and written).
Good analytical, problem-solving, and negotiation skills.
Flexible to work in U.S. shift hours (Night shifts, EST/PST depending on client).
Preferred Qualifications:
Bachelor's degree in any discipline.
Experience in multi-specialty billing (e.g., radiology, cardiology, DME).
Prior experience in handling large-volume client accounts or working with offshore teams.
What We Offer:
Competitive salary (Upto 50,000/- Per month)
Health benefits (where applicable) and paid time off
Career growth opportunities in a fast-growing company
On-the-job training and performance-based rewards
A professional and supportive work environment
To Apply: Pls share updated resume to Email ID: [email protected]
Or
Walk in For direct interview for AR caller opening on Friday (16th Jan,2026) between 5PM to 8PM
VENUE :
Techlead RCM
7th floor , TVH Agnito IT park ,
141, Rajiv Gandhi Salai, Kandanchavadi, Perungudi
Next building to CoWorks
Job Type: Full-time
Pay: ₹20,000.00 - ₹50,000.00 per month
Benefits:
- Paid sick time
- Provident Fund
Experience:
- AR Caller: 1 year (Preferred)
Work Location: In person