AR Caller US Healthcare RCM Denial Management

About the Role:
We are hiring for AR Calling (Accounts Receivable Follow-up) in the US Healthcare Revenue Cycle Management (RCM) process. This role requires calling insurance companies (Medicare, Medicaid, Commercial payers) to follow up on outstanding claims, resolve denials, and ensure timely reimbursement.

Note: This is a US Healthcare RCM voice process, not a general accounting/bookkeeping/finance role. Candidates without US healthcare AR/RCM background will not be considered.

Role & responsibilities :

• Make outbound calls to US insurance companies to follow up on unpaid/denied claims
• Analyze EOBs (Explanation of Benefits) and ERAs to determine claim status
• Identify reasons for claim denials and take corrective action (denial management)
• Work on aging AR buckets and prioritize claims based on aging/dollar value
• Update claim status and notes accurately in the billing software
• Coordinate with the coding/billing team for claim corrections and resubmissions
• Meet daily/weekly productivity and quality targets

Preferred candidate profile

• 1 to 5 years of hands-on experience in US Healthcare AR calling / Denial Management (mandatory)
• Strong understanding of RCM process: claims submission, denial management, AR follow-up
• Knowledge of CPT, ICD-10, HCPCS, EOB, ERA, and clearinghouse processes
• Excellent spoken English communication (voice process mandatory)
• Willingness to work in US shift timings 6 PM to 3 AM

Perks and Benefits

• Cab facility for women in night shift
• Subsidized Meal Facility
• Group Insurance
• Lucrative Incentives