- Contact insurance companies, patients, and healthcare providers regarding outstanding medical claims.
- Follow up on unpaid, underpaid, and pending claims to ensure timely reimbursement.
- Identify and resolve claim errors, payment issues, and billing discrepancies.
- Work on denied claims, including claim correction and appeals.
- Interpret EOB / ERA and understand payer guidelines.
- Work with CARC / RARC codes to identify denial and payment reasons.
- Handle claims submitted through UB-04 and CMS-1500 forms.
- Understand healthcare billing workflows including OPD / IPD processes.
- Maintain accurate records of claim follow-ups, payments, denials, and appeals.
- Handle high-volume voice processes while maintaining quality and productivity standards.
Required Skills
- Minimum 1+ year of experience in AR Physician / Hospital Calling within Healthcare RCM.
- Strong understanding of medical claims, denials, appeals, and reimbursement processes.
- Knowledge of CARC / RARC codes, EOB / ERA, UB-04, and CMS-1500.
- Understanding of ICD-10 and CPT and basic medical billing workflows.
- Familiarity with HIS, ERP, and healthcare billing software such as Epic or Cerner.
- Excellent verbal and written communication skills.
- Solid analytical and problem-solving abilities.
- Ability to manage high call volumes in a voice-based process.
- Comfortable working in rotational shifts.
- Undergraduate or Graduate candidates are eligible.
- Work Location: In person
📌 AR Caller (Hyderabad)
🏢 Student Tribe
📍 Hyderabad
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