Job Description – Senior AR Caller
Job Title: Senior AR Caller
Department: Revenue Cycle Management (RCM)
Experience:2 –6+ years in US Healthcare AR Calling
Employment Type: Full-time
Job Summary
We are seeking an experienced Senior AR Caller to manage accounts receivable follow-up for US healthcare providers. The ideal candidate will have strong knowledge of medical billing, insurance claim processing, denial management, and payer guidelines. This role requires effective communication with insurance representatives to resolve outstanding claims and improve reimbursement.
Key Responsibilities
- Perform follow-up on outstanding insurance claims to ensure timely reimbursement.
- Contact insurance companies via phone to determine claim status and resolve payment issues.
- Analyze and resolve denials, underpayments, and claim rejections.
- Work on aged AR accounts and prioritize high-value claims.
- Interpret Explanation of Benefits (EOBs) and Electronic Remittance Advice (ERA).
- Document all call activities and claim updates accurately in the billing system.
- Escalate complex cases requiring advanced resolution.
- Ensure compliance with HIPAA and client-specific guidelines.
- Meet productivity and quality targets set by the organization.
- Support and mentor junior AR callers by sharing best practices.
- Coordinate with internal teams such as coding, charge entry, and payment posting to resolve claim issues.
Required Skills & Qualifications
- Bachelor's degree or equivalent qualification preferred.
- 3–6+ years of experience in US Healthcare AR Calling.
- Strong understanding of Medicare, Medicaid, and commercial insurance policies.
- Hands-on experience with denial management and appeals.
- Excellent verbal communication and negotiation skills.
- Good analytical and problem-solving abilities.
- Proficiency in MS Excel and healthcare billing software.
- Ability to work independently and manage multiple priorities.
Preferred Knowledge
- CPT, ICD-10, and HCPCS coding fundamentals.
- Medical billing workflow and revenue cycle management.
- Insurance eligibility, authorization, and claim adjudication.
- Experience with major payer portals.
Key Performance Indicators (KPIs)
- AR aging reduction.
- Claims resolved per day.
- Collection efficiency.
- Denial resolution rate.
- Quality and documentation accuracy.
- Productivity and adherence to SLAs.
Benefits
- Competitive salary.
- Performance incentives.
- Health insurance.
- Paid leave and holidays.
- Career growth opportunities.
- Ongoing training and skill development.
Pay: ₹17,000.00 - ₹35,000.00 per month
Benefits:
- Paid sick time
- Provident Fund
Work Location: In person
