Role & responsibilities

RCM AR Caller / Collector

Job Purpose

As a Senior AR Executive, you will be responsible for end-to-end Accounts Receivable management, including payer calling, claim follow-up, denial resolution, appeals, underpayment review, and collection activities. The role requires strong ownership of accounts from follow-up through final resolution and payment.

Key Responsibilities

- Perform AR calling with insurance payers and adjusters to drive claims toward payment.
- Follow up on aged, pending, submitted and accepted claims, especially claims outstanding beyond 30 days.
- Resolve denials, rejections, eligibility, authorization and coding-related issues through root cause analysis and corrective action.
- Submit appeals, corrected claims, rebills and supporting documentation as required.
- Identify and resolve underpayments, downcoding and payment discrepancies.
- Track and resolve high-value and aged accounts based on collection priorities.
- Ensure timely follow-up on denials and prevent Timely Filing Limit (TFL) losses.
- Maintain accurate and audit-ready notes for all calls, follow-ups, appeals and claim actions.
- Coordinate with billing, coding and authorization teams to resolve claim issues.
- Handle complex AR cases and support escalation resolution.
- Analyze denial and payer trends and identify revenue leakage and process gaps.
- Maintain assigned work queues and ensure every account has a clear next action.
- Prepare daily, weekly and monthly AR and collection reports.
- Support client calls and provide updates on collections, aging, denials and escalations.
- Mentor junior team members and support process improvement initiatives.

Key Performance Expectations

- Minimum 95% daily productivity and workload completion.
- Minimum 99% accuracy in documentation and claim handling.
- Denial follow-up within 48 hours.
- Zero avoidable TFL losses.
- Strong call volume and collection performance.
- Timely resolution of underpayments and aged accounts.




- Focus on reducing AR aging and improving collections.

Required Skills

- Strong US Healthcare RCM and AR knowledge.
- Excellent payer calling, follow-up and negotiation skills.
- Strong denial management and appeals experience.
- Good understanding of insurance payer processes and AR workflows.
- Ability to analyze claims and identify root causes.
- Strong ownership, persistence and problem-solving skills.
- Excellent verbal and written communication.
- Ability to manage high-volume AR work independently.
- Good Excel, reporting and documentation skills.

Qualifications

- Graduate or higher qualification.
- 24 years of experience in US Healthcare RCM / AR.
- Experience in AR calling, denial management, appeals and collections preferred.

Keywords

US Healthcare, RCM, AR Calling, Accounts Receivable, Medical Billing, Denial Management, Appeals, Claims Follow-up, Collections, Underpayment, TFL, Insurance Payers, Healthcare AR

Preferred candidate profile

Preferred Candidate Profile

- 35 years of experience in US Healthcare RCM, preferably with strong AR experience.
- 2–3 years of hands-on experience in AR calling, payer follow-up and collections.
- Strong experience in denial management, appeals, corrected claims and claim resolution.
- Good knowledge of US insurance payer processes, eligibility, authorization, CPT and ICD-10.
- Experience handling aged, high-value, denied and underpaid claims.
- Solid payer communication, negotiation and escalation skills.
- Experience with commercial, Medicare, Medicaid and preferably Workers Compensation/PIP.
- Experience with payer portals and RCM/medical billing systems.
- Strong analytical and problem-solving ability with a focus on revenue recovery.
- Excellent documentation, communication and follow-up skills.
- Ability to independently manage accounts from initial follow-up through final resolution.
- Candidates with Pain Management, Orthopedics, PT or DME AR experience will be preferred.
- Candidates with a strong collections mindset and proven AR performance are highly preferred.

📌 Rcm Ar Caller (Chennai)
🏢 Virtueus Healthcare Services
📍 Chennai