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AR Caller

Support the resolution of outstanding U.S. healthcare insurance claims through proactive payer follow-ups, denial management, and accurate documentation to facilitate timely reimbursement and strengthen revenue cycle performance in healthcare Jobs.

Job Description

Key Responsibilities

  • Evaluate assigned insurance claims to identify payment issues, underpayments, and claim discrepancies.
  • Conduct follow-up activities with U.S. insurance payers through outbound calls, IVR systems, and online payer portals.
  • Investigate claim-related concerns, obtain necessary information from payers, and document interactions accurately.
  • Analyze denial reasons and initiate appropriate actions to secure claim resolution.
  • Submit and reprocess claims electronically, via paper submissions, or through Direct Data Entry (DDE) when required.
  • Maintain detailed call notes and update activities within the client’s revenue cycle management platform.
  • Provide medical records and supporting documents to payers to facilitate reimbursement.
  • Achieve established productivity, quality, and compliance objectives.
  • Follow client-specific documentation requirements and maintain HIPAA compliance standards.

Qualifications

  • Minimum of two years of experience in A/R calling within the U.S. healthcare provider industry.
  • Previous exposure to medical billing or revenue cycle management organizations is preferred.
  • Strong knowledge of revenue cycle processes and denial management methodologies.
  • Familiarity with U.S. insurance plans, HIPAA regulations, Workers’ Compensation, and No-Fault insurance.
  • Bachelor’s degree or equivalent professional experience.

Skills

  • Strong verbal and written communication skills in English.
  • Professional phone etiquette and effective payer interaction abilities.
  • Experience using medical billing software and revenue cycle platforms.
  • Proficiency in Microsoft Office applications.
  • Ability to manage multiple priorities and perform efficiently in a fast-paced environment.

Additional information

  • Comprehensive training on client-specific medical billing systems will be provided.
  • The role requires a high level of documentation accuracy and regulatory compliance.
  • Opportunity to work with U.S. healthcare payers and gain experience handling complex claims and reimbursement scenarios.

Highlights

Bag Type
Full-Time
Location Location
Mysore Office
FunctionsDepartment
Accounts Receivable
Posted Working Day
Monday To Friday
AdminShift
Night Shift
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