Full-Time | Work from Office (WFO) Only
Job Summary
We are seeking a detail-oriented and result-driven AR Caller to join our US Healthcare Revenue Cycle Management team. The AR Caller will be responsible for following up on outstanding insurance claims, resolving denied and underpaid claims, communicating with insurance payers and provider offices, and ensuring timely reimbursement for services rendered. The ideal candidate should possess strong analytical, communication, and problem-solving skills with experience in physician or hospital billing processes.
This is a strictly Work from Office (WFO) position. Candidates must be willing to work from the company office and comply with assigned shift schedules. Remote, hybrid, or work-from-home arrangements are not available for this role.
Key Responsibilities
Insurance Follow-Up
- Follow up with insurance companies regarding pending, denied, rejected, and underpaid claims.
- Verify claim status through payer portals, clearinghouses, and outbound calls.
- Analyze payer responses and identify reasons for claim delays or denials.
- Escalate unresolved claims to the appropriate departments when necessary.
- Ensure timely and accurate follow-up on assigned accounts receivable inventory.
Denial Management
- Investigate denied claims and determine root causes.
- Prepare and submit appeals with supporting documentation.
- Correct claim errors and resubmit claims for reprocessing.
- Track appealed claims until final resolution.
- Identify trends in denials and recommend corrective actions.
Accounts Receivable Management
- Work assigned AR inventory to achieve collection and aging reduction targets.
- Follow up on unpaid, partially paid, and denied claims.
- Review claim adjudication details and payment discrepancies.
- Ensure timely account resolution and accurate documentation of actions taken.
- Meet daily productivity and quality standards established by management.
Documentation & Compliance
- Accurately document all payer interactions and claim follow-up activities in the billing system.
- Maintain HIPAA compliance and protect patient confidentiality.
- Adhere to client-specific workflows, payer guidelines, and company policies.
- Ensure compliance with all regulatory and contractual requirements.
Required Qualifications
- Bachelor's Degree or equivalent qualification.
- Minimum 2 years of experience in US Healthcare Revenue Cycle Management (RCM) with a focus on Accounts Receivable (AR) and Insurance Follow-Up.
- Experience handling physician billing, hospital billing, or specialty billing accounts.
- Strong understanding of the medical billing and claims lifecycle.
- Familiarity with Medicare, Medicaid, Managed Care, and Commercial insurance payers.
- Knowledge of EOBs, ERAs, claim denials, appeals, and reimbursement methodologies.
- Proficiency in healthcare billing software and Microsoft Office applications.
Required Skills
- Excellent verbal and written communication skills.
- Strong analytical and problem-solving abilities.
- Ability to interpret EOBs, remittance advice, and payer correspondence.
- Strong negotiation and follow-up skills.
- High attention to detail and documentation accuracy.
- Ability to prioritize workload and manage multiple accounts efficiently.
- Ability to work independently and as part of a team.
Preferred Qualifications
- Experience with PracticeSuite or other healthcare billing platforms.
- Knowledge of CPT, ICD-10-CM, and HCPCS coding concepts.
- Experience in denial management, appeals, and revenue recovery processes.
- Exposure to multi-specialty physician billing environments.
Key Performance Indicators (KPIs)
- Collection targets achieved.
- AR aging reduction.
- Number of accounts worked per day.
- Denial resolution rate.
- Productivity and quality scores.
- Accuracy of account documentation.
- Attendance and adherence to work schedules.
Working Conditions
- US Healthcare Revenue Cycle Management process.
- Night shift based on business requirements.
- Fast-paced production environment with defined productivity targets.
- Strictly Work from Office (WFO) role.
- Candidates must report to the office on all scheduled working days.
- Remote work, hybrid work, and work-from-home options are not available for this position.
Location: Kochi
Experience Required: 2+ Years in US Healthcare AR & Insurance Follow-Up
Employment Type: Full-Time | Work from Office (WFO) Only
Work Location: In person
