Job Title: Eligibility Verification / AR Caller (US Healthcare RCM)
Experience: 1–2 Years
Location: Coimbatore
Department: Revenue Cycle Management (RCM)
Employment Type: Full-Time
Job Summary
We are looking for a motivated and detail-oriented Eligibility Verification / AR Caller
with 1–2 years of experience in US Healthcare Revenue Cycle Management. The ideal
candidate should have hands-on experience in insurance eligibility verification and/or
Accounts Receivable (AR) calling, with strong communication skills and knowledge of
US healthcare insurance processes.
Key Responsibilities
Eligibility Verification
- Verify patient insurance eligibility and benefits through payer websites and insurance portals.
- Contact insurance companies to confirm coverage, policy status, co-pay, co-insurance, deductible, and out-of-pocket details.
- Verify authorization and referral requirements prior to patient appointments.
- Document eligibility findings accurately in the practice management system.
- Identify inactive or invalid insurance coverage and escalate issues when required.
- Ensure eligibility is completed within client-defined turnaround time.
Accounts Receivable (AR) Calling
- Contact insurance companies regarding outstanding claims.
- Follow up on denied, rejected, and pending claims.
- Analyze denial reasons and take appropriate corrective actions.
- Update claim status and call notes in the billing system.
- Coordinate with internal teams to resolve claim-related issues.
- Meet daily productivity and quality targets.
Required Skills
- 1–2 years of experience in US Healthcare RCM.
- Knowledge of Commercial, Medicare, and Medicaid insurance plans.
- Good understanding of:
o Eligibility & Benefits Verification
o AR Calling
o Claim Status
o Denial Management
o Prior Authorization (preferred)
- Excellent verbal communication skills.
- Strong analytical and problem-solving abilities.
- Good typing speed and computer proficiency.
- Ability to work in night shifts.
Preferred Knowledge
- HIPAA Compliance
- CPT, ICD-10, and HCPCS coding basics
- Insurance Portals
- EMR / EHR / Practice Management Systems
- Clearinghouses (Availity, Navinet, etc.)
Key Competencies
- Attention to Detail
- Effective Communication
- Customer Focus
- Time Management
- Team Collaboration
- Problem Solving
- Quality Orientation
- Accountability
Key Performance Indicators (KPIs)
- Daily Eligibility Verification Productivity
- AR Calls per Day
- Claims Resolved
- First Call Resolution
- Quality Score
- Accuracy
- Turnaround Time (TAT)
- Client SLA Adherence
Pay: ₹150,000.00 - ₹300,000.00 per year
Benefits:
Language:
Work Location: In person
