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    Job · 21470650

    HYDERABAD · FULLTIME

    Walk-in || Senior AR Caller | Physician Billing & Hospital Billing

    HGS Healthcare

    HGS Healthcare

    Hyderabad · onsite · Posted 2d ago

    Sourced fromNaukri
    Undisclosed1–4 yrsfulltimeHyderabad

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    Section · 01

    About this role


    Job Title: AR Caller - Physician Billing & Hospital Billing (US Healthcare)
    Location: Hyderabad
    Experience: 1-4 Years
    Shift: Night Shift (US Timings)
    Process: US Healthcare Revenue Cycle Management (RCM)

    Job Summary

    Sagility is seeking experienced AR Callers with strong communication skills and hands-on experience in Physician Billing (PB) and/or Hospital Billing (HB) within the US Healthcare domain. The ideal candidate should possess a thorough understanding of the Revenue Cycle Management (RCM) process, including insurance follow-up, denial management, claims resolution, and payment posting.

    Key Responsibilities

    • Follow up with insurance companies on unpaid, underpaid, and denied claims.
    • Analyze and resolve claim denials, rejections, and payment variances.
    • Review and interpret Explanation of Benefits (EOBs), Electronic Remittance Advice (ERAs), and insurance remittances.
    • Contact insurance payers to obtain claim status and ensure timely reimbursement.
    • Work on aging reports and prioritize claims based on denial trends and aging buckets.
    • Research and resolve claim discrepancies by coordinating with internal teams and insurance representatives.
    • Document all activities, claim updates, and payer communications accurately in the billing system.
    • Meet productivity and quality metrics defined by the process.
    • Ensure compliance with HIPAA regulations and organizational policies.

    Required Skills

    • Hands-on experience in US Healthcare AR Calling.
    • Strong knowledge of Revenue Cycle Management (RCM).
    • Expertise in handling insurance claims, denials, appeals, and payment follow-up.
    • Ability to understand and interpret EOBs, ERAs, and payer guidelines.
    • Good understanding of Physician Billing and/or Hospital Billing processes.
    • Strong verbal and written communication skills.
    • Ability to work effectively in a fast-paced environment and night shifts.

    Eligibility Criteria

    • Experience: 1-4 years in US Healthcare.
    • Experience in AR Calling is mandatory.
    • Exposure to Physician Billing (PB) and/or Hospital Billing (HB) processes.
    • Candidates with B1-level communication skills are preferred.
    • Good analytical and problem-solving skills.

    Preferred Qualifications

    • Experience in denial management and appeals processing.
    • Knowledge of CPT, ICD-10, and HCPCS coding concepts.
    • Familiarity with major US insurance payers and reimbursement methodologies.
    • Strong attention to detail and customer-focused approach.
    • Ability to work independently and within a team environment.

    Why Join Us?

    • Opportunity to work in a fast-growing US Healthcare environment.
    • Exposure to end-to-end Revenue Cycle Management (RCM) processes.
    • Structured learning and career growth opportunities.
    • Dynamic and collaborative work culture.
    • Competitive compensation and employee benefits.

    Walk-In Details

    Walk-In Timings: 11:00 AM to 4:00 PM

    Documents Required

    • Updated Resume
    • Government ID Proof

    HR Contact

    Yash Joshi
    [phone removed] (WhatsApp)
    [email removed]

    Interested candidates can walk in directly or reach out via WhatsApp/email for further details.

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    Copilot said:

    AR Caller - Physician Billing & Hospital Billing (US Healthcare)

    Company: Sagility
    Location: Hyderabad
    Experience: 1-4 Years
    Shift: Night Shift (US Timings)
    Process: US Healthcare Revenue Cycle Management (RCM)

    Job Description

    Sagility is hiring experienced AR Callers for Physician Billing (PB) and Hospital Billing (HB) processes. We are looking for professionals with hands-on experience in US Healthcare Revenue Cycle Management (RCM), insurance follow-up, denial management, and Accounts Receivable functions.

    Key Responsibilities

    • Follow up with insurance companies on outstanding and denied claims.
    • Analyze and resolve claim denials, rejections, underpayments, and aged accounts.
    • Review and interpret EOBs (Explanation of Benefits) and ERAs.
    • Work on claim status checks, appeals, and reimbursement follow-up.
    • Identify root causes of denials and take corrective actions for faster resolution.
    • Maintain accurate documentation of payer interactions and claim updates.
    • Meet productivity, quality, and turnaround time targets.
    • Ensure compliance with HIPAA and client-specific guidelines.

    Eligibility Criteria

    • 1-4 years of experience in US Healthcare.
    • Experience in AR Calling is mandatory.
    • Experience in Physician Billing (PB) and/or Hospital Billing (HB).
    • Good understanding of RCM processes, denial management, and insurance claims.
    • Strong communication and analytical skills.
    • Candidates with B1-level communication skills preferred.
    • Willingness to work in US night shifts.

    Preferred Skills

    • Knowledge of EOB, ERA, Appeals, and Denial Management.
    • Familiarity with major US insurance payers.
    • Ability to handle claim follow-up and collections efficiently.
    • Strong problem-solving and customer service skills.

    Why Join Sagility?

    • Growth opportunities in the US Healthcare domain.
    • Exposure to end-to-end Revenue Cycle Management processes.
    • Dynamic work environment and career advancement opportunities.
    • Competitive compensation and benefits.

    Walk-In Details

    Walk-In Timings: 11:00 AM - 4:00 PM

    Documents Required

    • Updated Resume
    • Government ID Proof

    Contact Details

    Yash Joshi
    [phone removed] (WhatsApp)
    [email removed]

    Interested candidates can walk in directly or share their resumes via WhatsApp or email.

    Sourced from naukri

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    Section · 02

    Skills

    RCMAR Calling

    Section · Company

    About Sagility

    HGS Healthcare

    HGS Healthcare

    BPO

    18.3k+

    employees

    2022

    4 years old

    Bangalore / Bengaluru, Karnataka

    India

    ₹3.3L PA avg

    Avg at Sagility

    About

    Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw closer to their members

    Industries

    BPO

    Employee ratings

    10 reviews

    3.9/ 5

    Culture

    2.4

    Career growth

    2.6

    Work-life

    2.7

    Employees rate it well for

    Job Security42Company Culture39

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