Accounts Receivable Executive

Role & responsibilities:

We are looking for an experienced AR Caller to handle insurance follow-ups, resolve claim issues, and ensure timely reimbursement from US insurance providers. The ideal candidate should have strong communication skills, US RCM knowledge, and the ability to work in a fast-paced environment.

Key Responsibilities

• Make outbound calls to US insurance companies to follow up on pending, denied, or unpaid medical claims.
  
• Review claim status (paid/denied/pending) and take corrective action accordingly.
  
• Identify, analyze, and resolve claim denials (coding issues, eligibility, prior authorization, etc.).
  
• Update claim information with accurate call notes in the billing system.
  
• Coordinate with the billing, coding, and payment posting teams to resolve discrepancies.
  
• Handle aging buckets (30/60/90/120+ days) and ensure maximum recovery.
  
• Understand EOB/ERA and insurance guidelines for various payers.
  
• Ensure compliance with HIPAA and company standards.
  
• Meet daily/weekly productivity and quality targets.
  

Required Skills & Qualifications

• 16 years of experience in AR Calling / RCM (US Healthcare).
  
• Strong understanding of US insurance providers and denial management.
  
• Excellent English communication (verbal & written).
  
• Ability to work night shifts (US shift).
  
• Good analytical and problem-solving skills.
  
• Experience with medical billing tools/software (Athena, Kareo, AdvancedMD, NextGen, etc.) is an advantage.
  the day-to-day responsibilities for this role.