Senior Ar Caller

Role & responsibilities

• Manage and follow up on outstanding accounts receivable (AR) for US healthcare clients.
• Contact insurance companies, patients, and other relevant parties to resolve unpaid and outstanding claims.
• Perform regular insurance follow-ups through calls, portals, and other approved communication channels.
• Investigate claim denials, rejections, underpayments, and payment discrepancies and take appropriate corrective action.
• Analyze EOBs/ERAs to identify payment issues, contractual adjustments, and outstanding balances.
• Work on aging AR accounts and prioritize claims based on age, value, and payer-specific requirements.
• Identify the root cause of claim denials and coordinate with coding, billing, and other teams for resolution.
• Submit corrected claims, reconsiderations, appeals, and required documentation within payer timelines.
• Maintain accurate and timely documentation of all follow-up activities, claim status, and payer responses.
• Meet assigned daily/weekly/monthly productivity and quality targets.
• Handle complex and high-value accounts and escalate unresolved issues appropriately.
• Monitor payer trends and recurring denial patterns and communicate findings to the team.
• Coordinate with team members and internal departments to ensure timely claim resolution.
• Assist Team Leads/Managers with reports, aging analysis, and process-related activities.
• Support and guide junior AR callers on process-related queries and complex accounts.
• Ensure compliance with client requirements, company policies, and US healthcare billing/AR processes.
• Maintain confidentiality of patient and client information in accordance with applicable privacy and security requirements.
• Participate in process improvement initiatives to reduce AR days and improve collections.

Preferred candidate profile

• Bachelors degree in any discipline; relevant healthcare/RCM qualifications are an advantage.
• 2–5 years of experience in US Healthcare RCM, preferably in Accounts Receivable (AR).
• Strong experience in AR calling, insurance follow-up, denial management, and claim resolution.
• Good understanding of the US healthcare revenue cycle, medical billing, claims, EOBs/ERAs, and payer processes.
• Hands-on experience working with aging reports and outstanding claims.
• Strong verbal and written communication skills with good telephone etiquette.
• Ability to handle payer calls confidently and negotiate claim/payment-related issues professionally.
• Strong analytical and problem-solving skills.
• Ability to manage high-volume work while meeting productivity and quality targets.
• Good knowledge of US healthcare insurance terminology and payer guidelines.
• Ability to identify denial trends and take appropriate corrective action.
• Good working knowledge of MS Excel and RCM/medical billing software.
• Ability to work independently as well as coordinate effectively with internal teams.
• Willingness to work in US shifts/night shifts, based on business requirements.