TITLE: Senior Process Associate – AR Caller

Location: Mohali

Experience: 2–5 Years

POSITION SUMMARY

We are seeking experienced and performance-driven Senior Process Associates – AR Caller to join our US Healthcare Revenue Cycle Management (RCM) team. The role involves handling complex Accounts Receivable (AR) accounts, driving claim resolution, maximizing reimbursements, and supporting overall revenue recovery objectives.

The ideal candidate should have strong expertise in AR Follow-up, Denial Management, Insurance Calling, Claim Resolution, and Payer Communication, along with the ability to mentor junior team members and consistently achieve productivity and quality targets.

KEY RESPONSIBILITIES

Accounts Receivable Management

- Perform comprehensive follow-up on unpaid, denied, underpaid, and aged claims.
- Contact insurance companies to obtain claim status and resolve reimbursement issues.
- Analyze denial reasons and take appropriate corrective actions to secure payments.
- Work on high-priority and complex AR accounts with minimal supervision.
- Ensure timely resolution of outstanding receivables to maximize collections.
- Maintain accurate documentation and account notes within billing systems.

Denial Management & Resolution

- Investigate and resolve denied and rejected claims.
- Identify patterns and root causes of denials and recommend corrective actions.
- Prepare and submit appeals, reconsiderations, and supporting documentation when required.
- Coordinate with internal teams to ensure claim accuracy and successful resolution.
- Escalate critical payer issues appropriately to management.

Productivity & Quality

- Consistently achieve productivity, quality, and collection targets.
- Ensure compliance with client-specific guidelines and organizational standards.
- Maintain high accuracy levels in documentation and account handling.




- Participate in quality reviews and implement feedback effectively.
- Support continuous improvement initiatives within the process.

Team Support & Knowledge Sharing

- Assist new team members during training and onboarding.
- Share best practices and process updates with team members.
- Support Team Leads in achieving team objectives.
- Act as a process SME for assigned payer groups or specialties.
- Contribute to a collaborative and high-performance work environment.

Compliance & Process Adherence

- Ensure compliance with HIPAA, Medicare, Medicaid, and Commercial Payer regulations.
- Follow all client-specific policies, SOPs, and compliance requirements.
- Maintain confidentiality and security of patient information at all times.

EDUCATIONAL QUALIFICATIONS

- Graduate in any discipline
- Candidates from Healthcare, Life Sciences, Commerce, Management, or related backgrounds preferred

DESIRED CANDIDATE PROFILE

- 2–5 years of experience in US Healthcare Revenue Cycle Management.
- Minimum 2 years of experience in Accounts Receivable (AR) Follow-up.
- Solid expertise in:

o AR Calling o Insurance Follow-up o Denial Management o Appeals & Reconsiderations o Claim Status Follow-up o Revenue Recovery o Medicare & Medicaid Processes o Commercial Insurance Billing
- Strong communication and negotiation skills.
- Ability to work independently on challenging AR inventories.
- Good analytical and problem-solving skills.
- Experience with physician billing, hospital billing, or specialty billing processes will be an added advantage.
- Willingness to work in US shift timings.

KEY COMPETENCIES

- Accounts Receivable Management
- AR Calling
- Denial Management
- Appeals Processing
- Insurance Calling
- Revenue Recovery
- Healthcare Billing Knowledge
- Communication Skills
- Analytical Thinking
- Attention to Detail
- Problem Solving
- Quality Orientation
- Team Collaboration
- Time Management

📌 Process Associate (India)
🏢 Knack RCM
📍 India