Job Summary

Key Responsibilities
- Perform outbound calls to insurance companies to follow up on unpaid, underpaid, or denied medical claims.
- Analyze claim status and identify the root cause of payment delays, denials, or rejections.
- Resolve claim issues by coordinating with insurance representatives and internal teams.
- Review Explanation of Benefits (EOBs), Electronic Remittance Advice (ERA), and payer correspondence.
- Prepare and submit appeals for denied or underpaid claims with appropriate supporting documentation.
- Prioritize accounts based on aging, payer requirements, and collection opportunities.
- Maintain accurate documentation of call outcomes and account activities in the billing system.
- Monitor accounts receivable aging reports and recommend actions to improve collections.
- Identify recurring denial trends and provide insights for process improvement.
- Prepare productivity, denial, and collection reports for management.
- Ensure compliance with HIPAA, payer guidelines, and organizational policies.
- Meet daily productivity, quality, and collection targets.





Required Qualifications
- Bachelor's degree in any discipline.
- 2-5 years of experience as an AR Caller in US Healthcare Revenue Cycle Management.
- Strong understanding of the medical billing cycle, insurance follow-up, and accounts receivable management.
- Experience handling commercial insurance, Medicare, and Medicaid claims.
- Ability to interpret EOBs, ERAs, payer policies, and denial codes.
- Excellent verbal communication and negotiation skills.
- Robust analytical and problem-solving abilities.
- Proficiency in Microsoft Excel and healthcare billing software.
- Experience with Veradigm or other healthcare practice management/EHR systems is an added advantage.

Preferred Skills
- Knowledge of ICD-10, CPT, and HCPCS coding concepts.
- Understanding of denial management and appeals processes.
- Strong analytical skills to identify trends and improve collection performance.
- Abili

📌 Ar Caller Analyst (Guindy)
🏢 Vibrace Technologies
📍 Guindy