Role & responsibilities

- Insurance Follow-ups: Contact insurance companies (via calls or portals) to check the status of pending medical claims.

- Claim Status Verification: Review and verify claim details, payment status, denials, and rejections.

- Denial Management: Analyze reasons for claim denials and take necessary actions such as re-submission or escalation.

- Payment Posting Support: Assist in identifying underpayments or overpayments and report discrepancies.

- Accounts Receivable Management: Work on assigned AR queues to reduce outstanding balances and improve cash flow.

- Documentation: Accurately document call details, claim updates, and actions taken in the system.

- Appeals & Reprocessing: Initiate appeals for denied claims and follow up until resolution.

- Timely Follow-ups: Ensure regular follow-ups on unpaid or partially paid claims within TAT (Turnaround Time).

- Compliance: Maintain compliance with HIPAA guidelines and company policies.

- Coordination: Work closely with billing, coding, and internal teams to resolve claim issues.

- Productivity & Quality Targets: Meet daily/weekly/monthly targets in terms of calls, collections, and quality standards.

- Valuable communication and negotiation skills




- Knowledge of US healthcare/medical billing process
- Understanding of insurance policies and denial codes
- Basic computer skills (Excel, billing software)
- Attention to detail and problem-solving ability

Preferred candidate profile

- Educational Qualification: Any graduate (Commerce / Life Sciences / Pharmacy background is an advantage)

- Communication Skills: Excellent verbal communication skills with neutral accent and good listening ability

- Process Knowledge: Strong understanding of medical billing, insurance claims, denial management, and AR follow-ups

- Technical Skills: Basic knowledge of MS Excel and medical billing software/tools

- Analytical Skills: Ability to analyze claim denials and take appropriate action for resolution

- Work Flexibility: Willingness to work in night shifts (US timings)

- Target-Oriented: Ability to meet productivity, quality, and collection targets

- Team Player: Good interpersonal skills and ability to coordinate with internal teams

- Adaptability: Quick learner with the ability to handle multiple tasks and work under pressure

📌 Senior Ar Caller (Hyderabad)
🏢 Lumeratek
📍 Hyderabad