An AR (Accounts Receivable) Caller for hospital billing is responsible for following up on unpaid or denied healthcare claims with insurance providers to secure timely reimbursements. This voice-based RCM (Revenue Cycle Management) role focuses on minimizing outstanding account balances and resolving discrepancies. [1, 2]

Key Responsibilities

- Insurance Follow-Up: Call US healthcare insurance payers to check the status of pending hospital and institutional claims.
- Denial Management: Investigate the root cause of denied or underpaid claims and determine necessary corrective actions.
- Claim Resolution: Resubmit corrected claims or draft appeals and corrected letters for denied claims.
- Documentation: Accurately update claim statuses, billing summary notes, and financial data in EHR and hospital billing software.
- Payer Requirements: Maintain strong knowledge of payer-specific guidelines,



Explanation of Perks (EOB), and UB-04 billing forms.
- Qualifications & Skills
- Experience: 1 to 4 years of proven voice-process experience in US Healthcare RCM, specifically handling hospital billing
- Communication: Excellent verbal and English communication skills to effectively negotiate and resolve discrepancies with insurance representatives.
- Technical Skills: Proficiency in , Electronic Health Records (EHR), and Microsoft Office.
- Compliance: Strict adherence to HIPAA regulations and healthcare data confidentiality standards
- Metrics: Ability to meet daily and monthly targets for collections, call volume, and quality assurance
- - Pranavi - (phone hidden)

📌 hospital billing - AR caller (Hyderabad)
🏢 Sutherland
📍 Hyderabad