Role & responsibilities:

We are looking for an experienced AR Caller to handle insurance follow-ups, resolve claim issues, and ensure timely reimbursement from US insurance providers. The ideal candidate should have strong communication skills, US RCM knowledge, and the ability to work in a fast-paced environment.

Key Responsibilities

- Make outbound calls to US insurance companies to follow up on pending, denied, or unpaid medical claims.

- Review claim status (paid/denied/pending) and take corrective action accordingly.

- Identify, analyze, and resolve claim denials (coding issues, eligibility, prior authorization, etc.).

- Update claim information with accurate call notes in the billing system.

- Coordinate with the billing, coding, and payment posting teams to resolve discrepancies.

- Handle aging buckets (30/60/90/120+ days) and ensure maximum recovery.





- Understand EOB/ERA and insurance guidelines for various payers.

- Ensure compliance with HIPAA and company standards.

- Meet daily/weekly productivity and quality targets.

Required Skills & Qualifications

- 16 years of experience in AR Calling / RCM (US Healthcare).

- Solid understanding of US insurance providers and denial management.

- Excellent English communication (verbal & written).

- Ability to work night shifts (US shift).

- Good analytical and problem-solving skills.

- Experience with medical billing tools/software (Athena, Kareo, AdvancedMD, NextGen, etc.) is an advantage.
the day-to-day responsibilities for this role.

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