POSITION OVERVIEW

An Accounts Receivable (AR) Caller is responsible for resolving denied and past-due claims by analyzing account history, payer responses, and system data. This role supports root cause identification, escalates recurring issues, and collaborates across departments to improve reimbursement outcomes for radiology and interventional practices. The AR caller will call the insurance company, where appropriate, to resolve the claims.

ESSENTIAL DUTIES AND RESPONSIBILITIES

- Perform outbound calls to insurance companies for claim status and payment follow-ups
- Analyze and resolve denied, rejected, or underpaid claims efficiently
- Work on all major denial types including eligibility, authorization, coding, medical necessity, and timely filing
- Initiate and track appeals with proper documentation and supporting records
- Ensure accurate and timely updates in the billing system for all accounts worked
- Identify root causes of denials and take corrective actions to prevent recurrence
- Coordinate with internal teams (coding, billing, and QA) for claim resolution
- Maintain productivity and quality benchmarks as defined by the organization
- Follow HIPAA guidelines and always ensure data confidentiality
- Prioritize high-value and aging accounts to maximize collections
- Stay updated with payer policies, guidelines,



and process changes
- Escalate complex issues or trends impacting reimbursement to supervisors
- Understand and interpret the full account based on past notes, transactions, Explanation of Benefits (EOB), Electronic Remittance Advice (ERA), and denial codes
- Understand the issue and possible resolution within the system, clearinghouse or payer portal
- Take appropriate action as required based on solutions found and capture clear and concise notes

QUALIFICATIONS

- Bachelors degree in any discipline (preferred)
- 1 to 4 years of experience in Accounts Receivable (AR) Calling within US Healthcare RCM
- Strong experience in denial management and AR follow-up
- Positive knowledge of medical coding systems (CPT, ICD-10, HCPCS)
- Familiarity with US insurance payers, claim adjudication, and EOBs/ERAs
- Excellent verbal and written communication skills
- Basic computer proficiency and experience with billing software/tools
- Ability to work night shifts (US time zones)
- Strong analytical and problem-solving skills
- Ability to work independently and as part of a team

Shift

* Us night shift

Location: Chennai, Hyderabad, Mumbai

Budget: Upto 40kth ( based on skills and experience)

Notice Period: 15 days to Immediate joiner

📌 AR Caller (Hyderabad)
🏢 T3Cogno
📍 Hyderabad