Role Overview: The Senior AR Caller is responsible for handling complex AR accounts, high-dollar balances, and difficult payer follow-ups while consistently meeting productivity and quality targets. This role serves as a subject matter resource for junior AR Callers and supports Team Leads in maintaining operational efficiency. The Senior AR Caller is expected to demonstrate strong payer knowledge, problem-solving skills, and a high level of ownership.
Responsibilities
- AR Follow-Up & Collections: Perform outbound calls to insurance companies to resolve outstanding AR
- Work on complex, aged, and high-dollar accounts
- Handle denials, appeals, underpayments, and reprocessing requests
- Ensure timely follow-up and accurate documentation of account actions
- Denial Management: Analyze denial reasons and take appropriate corrective actions
- Prepare and submit appeals with required documentation
- Identify recurring denial trends and escalate to Team Lead
- Quality & Compliance: Ensure compliance with payer guidelines, HIPAA, and client SOPs
- Maintain high accuracy in documentation and account resolution
- Support audit requirements and corrective actions
- Mentoring & Support: Support training and knowledge-sharing with AR Callers
- Assist Team Lead with process clarification and issue resolution
- Act as a backup for Team Lead during peak workload periods
- Reporting & Productivity: Meet or exceed defined productivity and quality targets
- Maintain accurate trackers and follow-up logs
- Communicate risks or delays proactively to Team Lead
Experience
- Minimum 3-5 years of experience in US Healthcare AR follow-ups
- Strong experience in payer calling, denials, and appeals
Education
- Graduate preferred
Credentials / Certifications
- Healthcare or RCM-related certifications preferred
Skills & Knowledge
- Strong knowledge of US insurance payers and AR workflows
- Excellent communication and negotiation skills
- Robust analytical and problem-solving abilities
- Good time management and multitasking skills
- Proficiency in basic computer applications and billing systems
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