Role & responsibilities

1. Follow Up on Outstanding Claims

- Contact insurance companies regarding unpaid or underpaid claims.
- Check claim status through payer portals or phone calls.
- Identify reasons for claim delays or denials.

2. Resolve Denied Claims

- Analyze denial reasons.
- Work with billing and coding teams to correct claim errors.
- Initiate appeals and resubmit claims when necessary.

3. Payment Posting Verification

- Verify payments received from insurance companies.
- Ensure payments are correctly applied to patient accounts.
- Investigate discrepancies between billed and paid amounts.

4. Account Reconciliation

- Review accounts receivable aging reports.
- Prioritize high-value and overdue accounts.
- Maintain accurate account records.

5. Insurance Verification and Coordination

- Confirm patient insurance coverage details.
- Coordinate perks when multiple insurance plans are involved.
- Verify eligibility and authorization requirements.

6. Documentation and Reporting

- Document all call activities and follow-up actions.
- Update account notes in billing software.
- Prepare reports on claim status, collections, and denials.

7. Escalation Management

- Escalate unresolved issues to supervisors or payer representatives.




- Coordinate with internal departments to resolve complex cases.

Preferred candidate profile

- Bachelor's degree in any discipline (preferred).
- 05 years of experience in US Healthcare AR Calling or Medical Billing (freshers can be considered for trainee roles).
- Good understanding of the US healthcare system, medical billing, and Revenue Cycle Management (RCM).
- Knowledge of insurance claim processing, denials, appeals, and payment follow-up.
- Familiarity with CPT, ICD-10, HCPCS, and medical terminology is an added advantage.
- Excellent verbal and written English communication skills with a neutral accent.
- Strong analytical and problem-solving abilities.
- Good negotiation and customer service skills while interacting with insurance representatives.
- Proficiency in MS Office and medical billing software/payer portals.
- Ability to work in rotational or night shifts (US shift).
- Strong attention to detail and ability to meet daily productivity and quality targets.
- Ability to work independently as well as collaboratively in a team environment.
- Willingness to learn, adapt, and handle challenging claim scenarios efficiently.

📌 Senior Ar Caller (Hyderabad)
🏢 VEB Healthcare
📍 Hyderabad