The role

What this job actually is

RCM metric mastery is mandatory

Mastery of the RCM metric set is mandatory: net collection rate, gross collection rate, days in AR, AR over 90 days, denial rate, first-pass resolution rate, clean claim rate, cost to collect, charge lag and DNFB. You must be able to read them, explain what moves them, and act on them.

You get the inventory that has already defeated someone. Aged over 120, denied twice, underpaid against contract, or stuck in a payer process nobody on the floor understands yet. Your job is to figure out the actual blocker and clear it, then write down how you did it so it stops being hard. You also carry the floor: you are the person a caller turns to when a payer rep gives an answer that does not make sense.

Ownership

What you will own The hard inventory

Own aged, high-value and repeatedly denied claims. These are judgment calls, not queue work.

Appeals that win

Build appeals with the actual evidence: medical records, authorization history, contract language, timely filing proof. Write to be read by a reviewer, not filed by a clerk.

Underpayment recovery

Compare paid amounts against contracted rates and fee schedules, and pursue the difference. Money the client already earned.

Escalation paths

Know when to leave the phone queue: provider relations, payer escalation units, state complaint routes, and the clients own leverage.

Coaching the floor

Mentor AR Callers on payer behavior, call control and documentation. Raise the average, not just your own number.

Root cause reporting

Convert recurring blockers into a written case for a front-end or coding fix,



with dollars attached.

Ramp

Your first 90 days

First 30 days

Take the aged bucket, work it, and report back on what is actually blocking it, by payer and by cause.

By day 60

Appeal templates and escalation paths documented for your top payers, and juniors using them.

By day 90

Measurable recovery from inventory that was written off as unworkable, plus one systemic fix pushed upstream with evidence.

Requirements

What we look for

- MANDATORY: working command of RCM metrics, net collection rate, days in AR, AR over 90, denial rate, first-pass resolution rate, clean claim rate and cost to collect
- Three or more years of US healthcare AR calling, with demonstrated success on aged and denied inventory
- Solid command of the appeals process: levels, deadlines, evidence requirements and reconsideration versus formal appeal
- Able to read a contract or fee schedule and identify an underpayment
- Excellent spoken and written English, able to escalate to a payer supervisor and to write an appeal that holds up
- Willing to work the night shift on-site in Chennai, and to coach juniors while carrying your own book

Bonus Strong plus, not required
- Multi-state Medicaid and managed Medicaid experience




- Behavioral health, ABA, hospital facility or FQHC AR depth
- Experience running a small pod or acting as an escalation point
- Exposure to payer contract review or provider relations

Accountability How this role is measured Measure What it means Recovery on aged AR Cash recovered from over-90 and over-120 inventory. Appeal overturn rate Appeals filed versus appeals won, tracked by payer. Underpayment recovered Dollars identified and collected against contracted rates. Escalation cycle time Days from escalation to resolution. Team lift Resolution rate of the callers you coach. Root-cause submissions Systemic fixes raised with quantified dollar impact.

Why ASP-RCM

Why this seat is different

We are senior-led by design. A senior partner is named on accounts and shows up in the work, which is why clients renew and why this role carries real authority rather than a title. Our AI suite is in production, not in a roadmap deck, and our compliance posture is independently audited: SOC 2 Type II with HITRUST, ISO 27001 and HIPAA.

We pay for certifications and run upskilling cohorts, because coding and revenue cycle are crafts that need investment. You will work across Dallas HQ, six US states and Chennai, India, with colleagues who have run these functions at scale.

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📌 AR Caller (Chennai)
🏢 Asprcm Solutions
📍 Chennai