AR Caller

AR Caller (Accounts Receivable) – Denial Management

Experience Required: 1–3 years in AR Calling with Denial Management

Job Summary

We are looking for a dedicated and detail-oriented AR Caller with experience in Denial Management to join our RCM team. The role involves working with US-based healthcare clients to resolve insurance claim denials, reduce aging A/R, and ensure timely follow-up on unpaid claims.

Key Responsibilities:

• Call insurance companies in the US to follow up on outstanding claims.
• Analyze and understand the reason for denials and take appropriate actions.
• Initiate appeals, re-submissions, or corrective actions as per payer guidelines.
• Work closely with billing teams to resolve coding, billing, or documentation issues causing denials.
• Document all call interactions and update the billing software/system with the outcome.
• Meet daily productivity and quality targets.
• Provide feedback and trends related to recurring denials to management or clients.
• Escalate complex denial cases to senior analysts or team leads as needed.

Required Skills:

• 1+ years of experience in AR calling with a strong focus on denial resolution.
• Good understanding of US healthcare RCM process, including CPT, ICD, and HCPCS codes.
• Familiarity with EOBs (Explanation of Benefits) and ERA (Electronic Remittance Advice).
• Strong communication skills (verbal and written) with a neutral accent.
• Working knowledge of billing software (e.g., Athena, Epic, Kareo, AdvancedMD, etc.) is a plus.
• Ability to work in a fast-paced environment and handle high call volumes.

Education:

• Preferred: Bachelors / Masters

Preferred Qualifications:

• Experience handling denials for multiple specialties (e.g., radiology, DME, pathology, etc.)
• Prior experience with tools like Availity, Navinet, or payer portals.
• Certification in Medical Billing/Coding (CPC, CPB) is a plus.

Job Types: Full-time, Permanent

Pay: Up to ₹460,000.00 per year

Benefits:

• Food provided
• Health insurance
• Provident Fund

Schedule:

• US shift

Work Location: In person

Expected Start Date: 01/08/2025