AR Callers

Key Responsibilities:

• Review and analyze unpaid/denied claims and initiate appropriate follow-up.
• Make outbound calls to US insurance companies (payers) to resolve claims.
• Understand and interpret Explanation of Benefits (EOBs) and Claim Adjustment Reason Codes (CARCs).
• Work on claim re-submissions, appeals, and denial resolutions.
• Update the billing system with clear and accurate documentation of actions taken.
• Meet daily, weekly, and monthly productivity targets (e.g., call volume, aging resolution).
• Ensure compliance with HIPAA and company policies.

Required Qualifications:

Education: Any graduate (Life Science or Healthcare background preferred).

Experience:

• Freshers: With excellent communication skills and interest in US healthcare.
• Experienced: 1–3 years in AR Calling / Medical Billing / Denial Management.

Skills:

• Excellent verbal communication in English.
• Basic understanding of the US healthcare RCM process.
• Knowledge of insurance types (Medicare, Medicaid, Commercial).
• Familiarity with denial codes and resolution techniques.
• Proficient in MS Excel and billing software (e.g., NextGen, Kareo, Athena, eClinicalWorks).