Job Summary
The AR Caller / AR Analyst is responsible for working outstanding insurance claims to resolution through payer calls, portal research, and root-cause denial analysis, directly driving down Days in AR and improving collection outcomes.
Key Responsibilities
Work assigned AR aging buckets (30/60/90/120+ days) via payer calls or portals to determine claim status
Analyze denial reason codes (CARC/RARC) and take corrective action — corrected claims, appeals, or reprocessing requests
Document call notes and actions clearly in the billing system to maintain a complete audit trail
Identify denial trends — authorization, eligibility, medical necessity, timely filing, coding/bundling — and escalate systemic issues
Prepare and submit appeals/reconsiderations with the required clinical and billing documentation
Meet daily and weekly productivity targets for claims worked and dollars collected
Coordinate with coding, charge entry, and prior-authorization teams to resolve recurring root causes




Provide clear status updates for client update calls and reports
Required Qualifications & Skills
Strong knowledge of denial codes, payer policies, and the appeals process
Excellent verbal communication for payer calls and robust analytical skills
Familiarity with clearinghouses and payer portals (Availity, NaviNet, payer-specific portals)
Willingness and ability to work US shift hours
Preferred Qualifications
Specialty AR experience (hospital, cardiology, urology, home health)
Prior experience with denial management software or structured workflow tools
Tools & Systems
Office Ally, Availity, ClaimMD, payer portals, Excel-based AR trackers
Key Performance Indicators (KPIs)
Days in AR
Collection rate
Claims resolved per day
Denial resolution turnaround time
% of AR aged beyond 90 days

📌 Accounts Receivable Caller (Chennai)
🏢 Human Xpert India Private
📍 Chennai