Job Summary:


An AR Caller (Accounts Receivable Caller) is responsible for following up with insurance companies to ensure timely reimbursement for medical claims. They work within the healthcare revenue cycle management (RCM) process to resolve claim denials, underpayments, and other issues.

Key Responsibilities:


- Follow -up on Claims: Contact insurance companies via phone or email to check claim status.

- Resolve Denied or Underpaid Claims: Investigate reasons for claim denials and take corrective action to secure payment.

- Escalate Unresolved Cases: Work with senior team members or supervisors for claim appeals and escalations.

- Verify Patient Insurance Details: Ensure accurate insurance information for proper billing.

- Document Interactions: Record call details, claim updates, and resolution actions in the system.

- Collaborate with Billing Teams: Work closely with medical billers and coders to correct errors.

- Meet Productivity Targets: Achieve daily and monthly targets for calls and claim resolution.

Required Skills & Qualifications:

- Education: High school diploma or equivalent (Bachelor’s degree preferred).

- Experience: 1 -2 years of experience in AR calling, medical billing, or RCM. Freshers with good communication skills may apply.

- Communication Skills: Strong verbal and written English communication skills.

- Knowledge:

- Basics of medical billing, insurance claims, and denial management.

- Familiarity with US healthcare processes (preferred).

- Proficiency in MS Office and billing software (e.g., EPIC, eClinicalWorks, Athena).

- Shift: US shift (Night shift for India -based roles).

Preferred Qualifications:

- Experience in handling insurance follow -ups for US healthcare providers.

- Knowledge of HIPAA compliance and medical terminologies.

- Ability to work in a high -paced setting and meet deadlines.