AR Caller - Accounts Receivable Caller (Hyderabad)

We are looking for experienced AR Callers / Physician Callers with a minimum of 1+ years of experience in Healthcare RCM. The candidate will be responsible for following up on outstanding medical claims, coordinating with insurance companies and healthcare providers, resolving claim-related issues, and ensuring timely reimbursement.

Key Responsibilities

• Contact insurance companies, patients, and healthcare providers to follow up on outstanding medical claims.
• Perform AR/Physician Calling to determine claim status and payment details.
• Follow up on unpaid, underpaid, and pending claims.
• Identify reasons for claim denials and take appropriate corrective action.
• Work on denied claims, appeals and claim corrections.
• Analyze ERA/EOB (Electronic Remittance Advice / Explanation of Benefits) to identify payment discrepancies.
• Verify claim status, eligibility, benefits, authorization and reimbursement information.
• Coordinate with insurance representatives to resolve claim-related issues.
• Maintain accurate and detailed documentation of calls, follow-ups and claim updates.
• Meet defined productivity, quality, accuracy and collection targets.
• Handle high-volume outbound calls professionally.
• Follow client policies, HIPAA requirements and process guidelines.

Required Skills & Knowledge

• Minimum 1+ year of AR Physician Calling experience in Healthcare RCM.
• Strong understanding of Medical Billing and Revenue Cycle Management.
• Good knowledge of:
• Insurance Claims
• Claim Denials
• Appeals
• Rejections
• Underpayments
• Payment Posting
• Accounts Receivable
• Reimbursement
• Eligibility & Benefits
• Knowledge of Medicare and Medicaid.
• Knowledge of CMS-1500 claim form.
• Understanding of ERA/EOB.
• Excellent English communication and telephone etiquette.
• Strong analytical and problem-solving skills.
• Ability to handle high call volumes.
• Good typing and computer skills.
• Working knowledge of medical billing/RCM software and MS Office.
• Willingness to work in US/rotational shifts.

Eligibility

• Education: Undergraduate / Graduate.
• Experience: Minimum 1+ years of relevant AR Physician Calling / Healthcare RCM experience.
• Candidates with strong experience in US Healthcare AR Calling, Physician Billing or Medical Billing will be preferred.

Eligibility

Education: 10+2

Experience: Freshers - 4 Years

CTC: LPA 2.8 LPA to 6LPA

(Based on previous CTC and applicable hike, up to 30%. Max 6 LPA)

Work Details

• Work Location: Work From Office
• Working Days: 5 Days Working
• Week Off: 2 Rotational Week Offs
• Cab Facility: Two-Side Cab

Documents Required

Candidates should have the following documents available:

Education Documents

• Aadhaar Card
• PAN Card
• Educational Certificates / Marks Memos

Previous Employment Documents

• Offer Letter
• Previous Organization Pay Slips
• Relieving / Experience Letter

Interview Process

1. HR Round

2. AMCAT

3. Versant

4. Operations Round

Contact person: HR Harini @ [phone removed]