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.
Robust analytical and problem-solving abilities.
Valuable typing speed and computer proficiency.
Ability to work in night shif

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