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

- Robust knowledge of denial codes, payer policies, and the appeals process
- Excellent verbal communication for payer calls and strong 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

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