– AR Caller (Medical Billing)

Position: AR Caller – Medical Billing

Department: Medical Billing / Revenue Cycle Management (RCM)

Experience: 0–3 Years (Preferred)

Employment Type: Full-Time

Job Summary

We are looking for a motivated and detail-oriented AR Caller to join our Medical Billing team. The candidate will be responsible for following up on outstanding insurance claims, contacting insurance companies to obtain claim status, resolving claim denials, and ensuring timely reimbursement from insurance payers.

Key Responsibilities

- Follow up with insurance companies regarding outstanding and unpaid medical claims.
- Contact insurance representatives through inbound and outbound calls to obtain claim status.
- Identify reasons for claim denials, rejections, and payment delays.
- Analyze Explanation of Benefits (EOBs) and Electronic Remittance Advice (ERAs) to understand payment details and denial reasons.
- Work on denied, rejected, underpaid, and partially paid claims.
- Initiate claim reconsiderations, appeals, and reprocessing requests whenever necessary.
- Identify and resolve claim issues related to eligibility, authorization, timely filing, coding, and billing discrepancies.
- Maintain accurate and detailed account notes for every follow-up.
- Ensure timely follow-up on outstanding accounts to reduce AR days and improve collections.
- Escalate complex issues to the appropriate team for further resolution.
- Meet daily productivity, quality, and collection targets.
- Follow established workflows, client guidelines,



and compliance requirements.

Required Skills and Qualifications
- Good verbal and written communication skills.
- Basic knowledge of US Healthcare and Medical Billing.
- Understanding of the Revenue Cycle Management (RCM) process.
- Knowledge of insurance claim processing and denial management.
- Ability to interpret EOBs, ERAs, and denial codes.
- Good analytical and problem-solving skills.
- Basic computer knowledge and proficiency in MS Excel.
- Ability to handle insurance calls professionally and confidently.
- Strong follow-up skills and attention to detail.

Preferred Qualifications
- Previous experience in US Healthcare AR Calling.
- Knowledge of Medicare, Medicaid, Commercial, and Workers' Compensation insurance.
- Familiarity with medical billing software and payer portals.
- Experience working with different specialties such as Anesthesia, Surgery, and other healthcare services.

Performance Expectations (KPIs)
- Daily call productivity.
- Accounts resolved per day.
- Collection performance.
- Quality and accuracy of account documentation.
- Denial resolution rate.
- Timely follow-up compliance.
- Reduction in outstanding AR balance.

Work Requirements
- Willingness to work in US shifts.
- Ability to work independently and as part of a team.
- Flexibility to meet daily operational requirements.

Pay: ₹18,000.00 - ₹45,000.00 per month

Advantages

- Health insurance
- Leave encashment
- Paid time off
- Provident Fund

Work Location: In person

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