Accounts Receivable Caller

Role & responsibilities

Job Description: AR Caller (US Healthcare Voice Process)

Job Summary

The AR Caller (Accounts Receivable Caller) is a vital part of the Revenue Cycle Management (RCM) team. This role is responsible for proactively following up on outstanding medical insurance claims, resolving payment discrepancies, and ensuring timely and accurate reimbursement from US insurance payers. The ultimate goal is to minimize Accounts Receivable (AR) days and optimize the financial health of our clients.

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contact to HRM Parv - 7665521538

mail on parv.opportunity@gmail.com

Key Roles and Responsibilities

• Insurance Follow-up:

  Make high-volume outbound calls to US insurance companies (Payer-side) to check the status of pending, unpaid, or partially paid medical claims.

• Denial Management:

  Thoroughly investigate and analyze denied or underpaid claims. Identify the root cause of the denial and take appropriate corrective action (e.g., calling the payer, sending necessary documentation, requesting appeals/reconsiderations).

• Claim Resolution:

  Interpret Explanation of Benefits (EOBs) and Electronic Remittance Advices (ERAs) to reconcile patient accounts and resolve outstanding balances.

• Documentation:

  Maintain accurate, detailed, and timely records of all claim follow-up activities, conversations with payers, and account actions in the medical billing system.

• Discrepancy Resolution:

  Collaborate closely with the internal Billing, Coding, and Cash Posting teams to resolve coding errors, posting issues, and other discrepancies.

• Compliance:

  Ensure all activities adhere strictly to HIPAA regulations, company policies, and US healthcare industry standards.

• Target Achievement:

  Consistently meet or exceed daily call volume, claim resolution, and monthly collection targets/Key Performance Indicators (KPIs).

Required Skills and Qualifications

Essential Experience & Knowledge:

• Minimum

  1 to 6 years

  of proven, on-paper experience as an AR Caller or AR Executive in the US Healthcare domain.
• Solid understanding of the

  US Healthcare Revenue Cycle Management (RCM)

  process.
• Familiarity with various insurance payer types (Commercial, Government/Medicare/Medicaid, Worker's Comp).

Core Skills:

• Communication:

  Excellent verbal and written English communication skills, with a clear, professional accent suitable for US voice process.

• Analytical & Problem-Solving:

  Strong ability to analyze complex billing issues, interpret insurance guidelines, and logically resolve claims.

• Productivity:

  Proven ability to manage a high-volume workload, multitask efficiently, and meet aggressive productivity targets.

• System Proficiency:

  Basic to intermediate proficiency in medical billing software (e.g., Epic, NextGen, Cerner, etc.) and MS Office (especially Excel).

Preferred Qualifications

• Knowledge of standard medical terminology, CPT, and ICD-10 coding fundamentals.
• Willingness to work in

  Night Shifts

  (US Time Zone)

Preferred candidate profile

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contact to HRM Parv - 7665521538

mail on parv.opportunity@gmail.com