Job Summary Key Responsibilities - Perform outbound calls to insurance companies to follow up on unpaid, underpaid, or denied medical claims. - Analyze claim status and identify the root cause of payment delays, denials, or rejections. - Resolve claim issues by coordinating with insurance representatives and internal teams. - Review Explanation of Benefits (EOBs), Electronic Remittance Advice (ERA), and payer correspondence. - Prepare and submit appeals for denied or underpaid claims with appropriate supporting documentation. - Prioritize accounts based on aging, payer requirements, and collection opportunities. - Maintain accurate documentation of call outcomes and account activities in the billing system. - Monitor accounts receivable aging reports and recommend actions to improve collections. - Identify recurring denial trends and provide insights for process improvement. - Prepare productivity, denial, and collection reports for management. - Ensure compliance with HIPAA, payer guidelines, and organizational policies. - Meet daily productivity, quality, and collection targets. Required Qualifications - Bachelor's degree in any discipline. - 2-5 years of experience as an AR Caller in US Healthcare Revenue Cycle Management. - Strong understanding of the medical billing cycle, insurance follow-up, and accounts receivable management. - Experience handling commercial insurance, Medicare, and Medicaid claims.



- Ability to interpret EOBs, ERAs, payer policies, and denial codes. - Excellent verbal communication and negotiation skills. - Strong analytical and problem-solving abilities. - Proficiency in Microsoft Excel and healthcare billing software. - Experience with Veradigm or other healthcare practice management/EHR systems is an added advantage. Preferred Skills - Knowledge of ICD-10, CPT, and HCPCS coding concepts. - Understanding of denial management and appeals processes. - Robust analytical skills to identify trends and improve collection performance. - Ability to work independently while collaborating effectively with cross-functional teams. - Excellent time management and organizational skills. - High attention to detail and accuracy. Key Performance Indicators (KPIs) - Collection percentage and recovery of outstanding AR. - Daily productivity (accounts worked and calls completed). - First-pass resolution rate. - Denial resolution and appeal success rate. - Reduction in aging accounts (60/90/120+ days). - Quality and accuracy of account documentation. - Compliance with turnaround time (TAT) and quality standards. Compensation Reporting To AR Team Lead / Assistant Manager - Accounts Receivable / Operations Manager Pay: ₹20,000.00 - ₹40,000.00 per month Work Location: In person

📌 Ar Caller Analyst (Guindy)
🏢 Vibrace Technologies
📍 Guindy