Role & responsibilities

- Perform AR follow ups with insurance companies on unpaid or denied claims.

- Review EOB / ERA to identify denial reasons and payment discrepancies.

- Submit corrected claims, appeals, and reconsideration's when necessary.

- Track claim status through payer portals and clearinghouses.

- Maintain accurate documentation in the billing system.

- Monitor AR aging reports and prioritize high value claims.

- Coordinate with billing and coding teams to resolve claim issues.

- Ensure compliance with HIPAA regulations and payer guidelines.

Additional Responsibilities (Experienced Candidates)

- Handle complex AR cases and escalated accounts.

- Mentor and guide junior AR team members.

- Identify denial patterns and recommend workflow improvements.

- Assist management in AR reporting and performance tracking.





- Take ownership of assigned accounts to maximize collections.

Preferred candidate profile

- 1-5 years of experience in AR Calling / Follow up with US Healthcare (provider side).

- Experience in AR follow up and denial management.

- Knowledge of Medicare, Medicaid and commercial payer processes.

- Familiarity with CPT, ICD 10 and HCPCS coding (preferred).

- Strong English communication skills and analytical ability.

- Flexibility to work in night shift, according to US office timings from 6 Pm to 3 Am and holiday calendars.

- Rapid learner with the ability to talk to people effectively, and adapt well to different situations for meeting operational goals.

- Basic working knowledge of MS Office.

📌 Immediate Hiring - Accounts Receivable Caller US Health Care (RCM) (Mumbai)
🏢 Medmecs Billing Services
📍 Mumbai