Job Title: Eligibility Verification / AR Caller (US Healthcare RCM)

Experience: 0 - 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 0 - 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 advantages through payer websites and insurance portals.
- Contact insurance companies to confirm coverage, policy status, co-pay, coinsurance, 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

- 0- 2 years of experience in US Healthcare RCM.
- Knowledge of Commercial, Medicare, and Medicaid insurance plans.
- Good understanding of:
- Eligibility & Benefits Verification
- AR Calling
- Claim Status
- Denial Management
- 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

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