Job Title
Senior AR Caller (Accounts Receivable)
Department
Revenue Cycle Management (RCM) / Medical Billing
Reports To
AR Team Lead / AR Manager
Job Summary
The Senior AR Caller is responsible for managing outstanding insurance and patient receivables, ensuring timely reimbursement, and reducing aging accounts. The role requires advanced knowledge of medical billing, denial management, claim follow-up, appeals processing, and payer-specific guidelines. The Senior AR Caller also supports team performance by providing guidance, training, and process improvement recommendations.
Key ResponsibilitiesAccounts Receivable Management
- Follow up on outstanding claims with insurance companies through calls and payer portals.
- Analyze unpaid, denied, and underpaid claims and take appropriate corrective actions.
- Ensure timely resolution of aged accounts to meet collection targets.
- Review and prioritize AR inventory based on aging and financial impact.
Denial Management
- Identify root causes of claim denials and payment delays.
- Initiate reconsiderations, appeals, and resubmissions as required.
- Track denial trends and recommend preventive actions.
Payment Follow-up
- Verify claim status, payment details, authorization requirements, and eligibility issues.
- Coordinate with billing, coding, and provider teams to resolve claim discrepancies.
- Escalate complex accounts requiring management intervention.
Quality & Compliance
- Maintain HIPAA compliance and patient confidentiality.
- Ensure documentation of all actions taken on accounts.
- Adhere to client-specific processes and quality standards.
Team Support & Leadership
- Assist in training and mentoring junior AR Callers.
- Share payer updates, denial trends, and best practices with the team.
- Support new process implementations and workflow improvements.
Required Qualifications
- Bachelor's degree or equivalent experience.
- 3–6+ years of experience in US Healthcare Medical Billing and Accounts Receivable.
- Strong knowledge of insurance claim processing and reimbursement methodologies.
- Experience working with Commercial, Medicare, Medicaid, and Managed Care payers.
- Proficiency in denial management and appeals.
Technical Skills
- Medical Billing and Revenue Cycle Management (RCM)
- EOB/ERA Analysis
- Claim Status Verification
- Denial Management
- Appeals & Reconsiderations
- ICD-10, CPT, and HCPCS awareness
- AR Aging Analysis
- Healthcare Billing Software / EMR Systems
- Microsoft Excel and reporting tools
Key Competencies
- Strong communication and negotiation skills
- Analytical and problem-solving abilities
- Attention to detail
- Team collaboration
- Time management
- Process improvement mindset
- Client-focused approach
Performance Metrics (KPIs)
- Collection Rate
- AR Aging Reduction
- Denial Resolution Rate
- Accounts Processed per Day
- Quality Score
- Productivity Targets
- Turnaround Time (TAT)
Preferred Experience
- Experience in Hospital Billing, Physician Billing, or Specialty Billing.
- Exposure to client-facing communication and escalation handling.
- Previous mentoring or team-leading experience.
Work Schedule
- Night Shift / US Healthcare Shift (as applicable)
- Ability to work in a fast-paced production environment.
Pay: ₹40,000.00 - ₹50,000.00 per month
Benefits:
- Commuter assistance
- Flexible schedule
- Health insurance
- Leave encashment
- Life insurance
- Provident Fund
Work Location: In person
