Senior AR Caller

Senior AR Caller US Healthcare RCM

Job Title: Senior AR Caller
Department: US Healthcare – Revenue Cycle Management (RCM)
Experience: 4+ Years
Location: Egmore, Chennai
Employment Type: Full-Time
Shift: Night Shift
Cab Facility: Not Provided
Gender Preference: Male Candidates Preferred

Job Summary

We are looking for an experienced Senior AR Caller with strong knowledge of US Healthcare Revenue Cycle Management (RCM) and extensive experience in Accounts Receivable (AR) follow-up.

The ideal candidate should have hands-on experience in insurance claim follow-up, denial management, payment resolution, appeals, and outstanding AR management. Candidates with specialty billing experience in Anesthesia, Behavioral Health, Podiatry, Surgery, or Physician Billing will be highly preferred.

Key Responsibilities

• Perform end-to-end AR follow-up for outstanding US healthcare claims.
• Contact insurance companies through phone calls and payer portals to determine claim status.
• Analyze unpaid, denied, rejected, and underpaid claims and take appropriate action.
• Identify denial reasons and work toward timely claim resolution and payment.
• Handle claim status, eligibility, authorization, medical necessity, and payment-related issues.
• Review EOBs/ERAs and identify payment discrepancies, denials, and contractual adjustments.
• Prepare and submit appeals and reconsiderations when required.
• Work on aged AR accounts and prioritize high-value and high-priority claims.
• Maintain accurate documentation of payer interactions and follow-up activities.
• Meet productivity, quality, and collection targets consistently.
• Escalate complex issues appropriately and coordinate with internal teams.

Required Qualifications & Skills

• Minimum 4 years of experience in US Healthcare RCM, preferably in AR.
• Strong hands-on experience in AR Calling and Insurance Follow-Up.
• Good understanding of the US Healthcare Revenue Cycle.
• Knowledge of commercial insurance, Medicare, Medicaid, and other US payers.
• Excellent verbal and written communication skills.
• Strong analytical and problem-solving abilities.
• Good knowledge of denial management and appeals.
• Ability to independently manage AR accounts and meet targets.
• Willingness to work in a Night Shift.
• Male candidates preferred.