Job Summary

Division OverviewThe US Healthcare Revenue Cycle Management (RCM) division is responsible for managing Accounts Receivable operations to ensure timely and accurate reimbursement from US insurance payers. The team focuses on insurance follow-ups, denial resolution, payment posting analysis, and AR aging reduction while adhering to HIPAA and US billing guidelines. AR Callers play a key role in improving cash flow by working closely with payers, resolving claim issues, and meeting productivity and quality benchmarks.

Role OverviewThe AR Caller is responsible for managing and resolving outstanding medical insurance claims to ensure timely reimbursement from US payers. This role involves proactive insurance follow-ups, denial analysis, underpayment resolution, and claim status verification while maintaining strict compliance with HIPAA and US healthcare billing guidelines. The AR Caller works closely with internal billing teams and insurance representatives to reduce AR aging, meet productivity targets, and improve overall revenue performance.

Responsibilities

- Perform proactive follow-ups with US insurance payers via calls and portals to resolve outstanding medical claims
- Analyze EOBs, remittance advice, and payer responses to identify denials, underpayments, and rejections
- Investigate and resolve claim denials, including eligibility, coding, authorization, and timely filing issues
- Work on appeals and reconsiderations as per payer guidelines
- Ensure timely resolution of aging AR buckets to reduce AR days and improve cash flow




- Document all follow-up actions and claim status updates accurately in billing systems
- Coordinate with coding, billing, and payment posting teams to resolve claim discrepancies
- Meet assigned productivity, quality, and TAT targets consistently
- Maintain strict compliance with HIPAA, US healthcare regulations, and internal SOPs
- Stay updated on payer policies, billing rules, and process changes

Qualifications

- Experience: 1 to 4 Years AR Calling in US Healthcare RCM
- Hands on experience on EPIC
- Good excel skills and MS Office
- Multispecialty experience will be add on
- Education: Any Graduation preferred
- Credentials/Certifications: NAS

Skills Knowledge

- Skills Knowledge: 1-4 years of hands-on experience in US Healthcare Medical Billing - Accounts Receivable (AR)
- Strong knowledge of US insurance follow-up processes, claim lifecycle, and AR workflows for Both Physician (CMS 1500) and Hospital Billing (UB04)
- Proven experience in calling US payers and resolving claim status, denials, and underpayments
- Good understanding of medical billing terminologies, CPT, ICD-10, HCPCS, and modifier basics
- Ability to analyze EOBs / ERAs, identify discrepancies, and take appropriate corrective action
- Experience working on denial management, appeals,



and reconsiderations
- Familiarity with commercial payers, Medicare, and Medicaid
- Working knowledge of HIPAA regulations and compliance standards
- Excellent verbal communication skills with a neutral or US-friendly accent
- Strong documentation skills and accuracy in updating billing systems
- Ability to meet productivity, quality, and TAT targets
- Proficient in using medical billing software (EPIC), payer portals, and MS Office tools
- Strong analytical, problem-solving, and follow-up skills
- Ability to work independently and as part of a team-oriented environment

Physical Requirements

- Ability to travel between office and client locations (international travel when needed)
- Ability to operate standard office equipment for prolonged periods (pc/laptop, phone, keyboard, monitor, printer/scanner/copier, etc.)
- Ability to perform repetitive hand and wrist motions (typing, data entry)
- Ability to sit for extended periods of time, with occasional standing and walking in the office
- Ability to communicate effectively in person, by phone, and via electronic means
- Ability to lift and carry objects typically up to 15 pounds such as files or office supplies
- Ability to maintain focus in a typical office workplace with moderate noise levels

Disclaimer: This job posting has been aggregated from external source. Role details, content, and availability are subject to change. Applicants are advised to confirm the latest information directly on the company website before applying.

📌 Sr. AR Caller (Hyderabad)
🏢 Pena4 Tech Solutions
📍 Hyderabad