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Requirements

Experience: 6 months to 2 years
Industry: US Healthcare – Revenue Cycle Management (RCM)
Shift: Night Shift (US Shift)

Educational Qualifications:

• Any graduate (preferably in Life Sciences, Commerce, or Healthcare-related fields)

• Diploma or certification in medical billing or RCM (optional but a plus)

  Experience Requirements:

  • Minimum 6 months to 2 years of hands-on experience in AR calling for US healthcare providers.

  • Exposure to US healthcare claims (Hospital or Physician billing).

  • Experience working in denial management, claim status checks, and insurance follow-ups.

  
  

  
  

Description

Job Summary:

We are looking for a motivated and detail-oriented AR Caller with 6 months to 2 years of experience in US Healthcare Revenue Cycle Management (RCM). The AR Caller will be responsible for following up on claims with insurance companies, analyzing denials, and ensuring maximum reimbursement for medical services.

Key Responsibilities:

• Perform outbound calls to insurance companies (payers) to resolve unpaid or denied medical claims.

• Follow up with insurance payers to check on claim status, initiate appeals, or escalate unresolved claims.

• Review and interpret Explanation of Benefits (EOBs), denials, and insurance correspondence.

• Identify trends in denials and provide feedback for process improvement.

• Document call details and update the system with current claim status.

• Work collaboratively with billing and coding teams to resolve claim issues.

• Meet daily productivity and quality targets.

  Required Skills:

  • Strong knowledge of US healthcare RCM processes, particularly AR follow-up.

  • Understanding of insurance guidelines (Medicare, Medicaid, Commercial).

  • Familiarity with denial management, appeals, CPT/ICD codes, and modifiers.

  • Excellent communication skills (verbal and written) in English.

  • Proficiency in using RCM tools and billing software (e.g., EPIC, Kareo, AdvancedMD, etc.)

  • Analytical skills to identify issues and recommend solutions.

  • Ability to work independently and in a team environment.

  • Willingness to work in US shifts (night shifts).