Accounts Receivable Caller

Key Responsibilities:

• Make outbound calls to insurance companies in the US to follow up on pending claims
• Check the status of medical claims (aging, pending, denied, or underpaid)
• Understand EOBs (Explanation of Benefits) and denial reason codes
• Take appropriate actions: re-submission, appeal, correction, or escalation
• Accurately document call details and update claim status in the billing system
• Work towards meeting or exceeding daily productivity and quality targets
• Communicate effectively with internal teams for claim resolution and process improvement

Eligibility Criteria:

• Education: Any graduate (Life Science / Paramedical background preferred)
• Experience: 6 months – 3 years in AR Calling / Medical Billing
• Communication Skills:
• Excellent spoken English with a neutral accent
• Good listening and negotiation skills
• Familiarity with US insurance terms, denial management, and HIPAA guidelines

Skills Required:

• Knowledge of the US healthcare claim cycle (UB04/CMS-1500)
• Understanding of insurance follow-up process, denials, and rejections
• Hands-on experience with billing software and payer portals (e.g., Availity, Navinet)
• Proficiency in using RCM tools and EMRs (eClinicalWorks, Athena, Epic, etc.)
• Strong attention to detail and problem-solving ability