Accounts Receivable (AR) Caller – US Healthcare
Location: Chennai, India
Employment Type: Full-Time
Shift: US Shift (Night Shift)
Job Summary
We are seeking a detail-oriented and result-driven Accounts Receivable (AR) Caller to join our Healthcare Revenue Cycle Management (RCM) team. The ideal candidate will be responsible for following up on outstanding medical claims with insurance companies, resolving claim denials, ensuring timely reimbursements, and maintaining accurate account records.
Key Responsibilities
- Follow up with insurance companies regarding unpaid, denied, rejected, or underpaid medical claims.
- Review claim status through payer portals and telephone interactions.
- Investigate and resolve claim denials, rejections, and payment discrepancies.
- Process appeals and claim resubmissions as required.
- Analyze Explanation of Benefits (EOB) and Electronic Remittance Advice (ERA).
- Document all actions, communications, and claim updates accurately in the system.
- Meet productivity, quality, and collection targets.
- Coordinate with billing, coding, and internal teams to resolve claim-related issues.
- Maintain compliance with HIPAA and client-specific guidelines.
- Prepare and maintain daily and weekly follow-up reports.
Required Skills
- Strong verbal and written communication skills.
- Good analytical and problem-solving abilities.
- Ability to work independently and manage multiple accounts.
- Knowledge of medical billing and insurance claim processes.
- Strong attention to detail and organizational skills.
- Proficiency in Microsoft Office applications, particularly Excel.
Preferred Knowledge
- Accounts Receivable (AR) Calling
- Revenue Cycle Management (RCM)
- Denial Management
- Medical Billing
- Claims Processing
- Insurance Follow-up
- Medicare, Medicaid, and Commercial Insurance
Experience
- AR Caller: 1–3 years of experience in US Healthcare AR Calling.
- Senior AR Caller: 4+ years of experience in AR Calling, Denial Management, and Insurance Follow-up.
Qualifications
- Any Graduate.
- Healthcare RCM, Medical Billing, or Coding certification is an added advantage.
- Excellent spoken English skills.
Key Performance Indicators (KPIs)
- Claims resolved per day.
- Collection performance.
- Aging reduction.
- Denial resolution rate.
- Productivity and quality compliance.
- SLA adherence.
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