Role & responsibilities

- Manage and follow up on outstanding accounts receivable (AR) for US healthcare clients.

- Contact insurance companies, patients, and other relevant parties to resolve unpaid and outstanding claims.

- Perform regular insurance follow-ups through calls, portals, and other approved communication channels.

- Investigate claim denials, rejections, underpayments, and payment discrepancies and take appropriate corrective action.

- Analyze EOBs/ERAs to identify payment issues, contractual adjustments, and outstanding balances.

- Work on aging AR accounts and prioritize claims based on age, value, and payer-specific requirements.

- Identify the root cause of claim denials and coordinate with coding, billing, and other teams for resolution.

- Submit corrected claims, reconsiderations, appeals, and required documentation within payer timelines.

- Maintain accurate and timely documentation of all follow-up activities, claim status, and payer responses.

- Meet assigned daily/weekly/monthly productivity and quality targets.

- Handle complex and high-value accounts and escalate unresolved issues appropriately.

- Monitor payer trends and recurring denial patterns and communicate findings to the team.

- Coordinate with team members and internal departments to ensure timely claim resolution.

- Assist Team Leads/Managers with reports, aging analysis, and process-related activities.

- Support and guide junior AR callers on process-related queries and complex accounts.

- Ensure compliance with client requirements,



company policies, and US healthcare billing/AR processes.

- Maintain confidentiality of patient and client information in accordance with applicable privacy and security requirements.

- Participate in process improvement initiatives to reduce AR days and improve collections.

Preferred candidate profile

- Bachelors degree in any discipline; relevant healthcare/RCM qualifications are an advantage.

- 2–5 years of experience in US Healthcare RCM, preferably in Accounts Receivable (AR).

- Strong experience in AR calling, insurance follow-up, denial management, and claim resolution.

- Good understanding of the US healthcare revenue cycle, medical billing, claims, EOBs/ERAs, and payer processes.

- Hands-on experience working with aging reports and outstanding claims.

- Robust verbal and written communication skills with good telephone etiquette.

- Ability to handle payer calls confidently and negotiate claim/payment-related issues professionally.

- Strong analytical and problem-solving skills.

- Ability to manage high-volume work while meeting productivity and quality targets.

- Good knowledge of US healthcare insurance terminology and payer guidelines.

- Ability to identify denial trends and take appropriate corrective action.

- Good working knowledge of MS Excel and RCM/medical billing software.

- Ability to work independently as well as coordinate effectively with internal teams.

- Willingness to work in US shifts/night shifts, based on business requirements.

📌 Senior Ar Caller (Hyderabad)
🏢 Zebl India Private
📍 Hyderabad