Job Title: Senior AR Caller / AR Follow-up Executive – US Healthcare RCM
? Location: Gurugram, Sector 18
? Work Mode: Work from Office
? Employment Type: Full time
About the Role
We are hiring an experienced Senior AR Caller (US Healthcare RCM) with strong hands-on exposure to insurance calling, AR follow-up, and denial management.
This role is ideal for candidates who actively call US insurance payers, work on unpaid and denied claims, and are comfortable handling end-to-end AR processes.
If you have solid experience in US insurance follow-ups, denial resolution, and appeals, this role is for you.
Key Responsibilities
- Perform insurance follow-up calls with US payers for unpaid & denied claims
- Work on denial analysis and resolution, including:
- No Authorization
- Duplicate / Bundled / Inclusive
- COB (Coordination of Benefits)
- Medical Necessity
- Timely Filing
- Non-Covered Services
- Check claim status via payer portals & live calls
- Take corrective actions such as:
- Resubmissions
- Appeals
- Documentation requests
- Coordinate with coding & billing teams to fix claim errors
- Perform eligibility & benefit verification when required
- Post ERA/EOB and update payment details accurately
- Maintain accurate call notes and follow-up documentation in the system
- Ensure compliance with HIPAA and internal quality standards
Required Skills & Experience
- 2+ years of hands-on experience as an AR Caller / AR Follow-up Executive