Job Description: AR Caller (Denial Management)<p>Location: Hyderabad, Telangana (In-Office) Employment Type: Full-Time, Permanent Shift: 5:00 PM – 2:00 AM IST (US Afternoon/Evening Shift) Transportation: No Cab Facility Provided (Self-commute required)</p><h3>Job Overview</h3><p>We are looking for an experienced and results-driven AR Caller specializing in Denial Management to join our Revenue Cycle Management (RCM) team. In this role, you will be the bridge between healthcare providers and US insurance companies. Your primary goal is to investigate unpaid or denied claims, resolve discrepancies, and ensure our clients receive maximum reimbursement in a timely manner.</p><h3>Key Responsibilities</h3><ul><li><p>Claim Follow-up: Proactively call US insurance companies (Medicare, Medicaid, and Commercial payers) to check the status of outstanding accounts receivable.</p></li><li><p>Denial Management: Analyze and resolve claim denials (COB, Medical Necessity, Authorization issues, etc.) by identifying the root cause and taking corrective action.</p></li><li><p>Appeals & Resubmission: Prepare and submit formal appeals for denied claims and handle the resubmission of corrected claims.</p></li><li><p>Documentation: Maintain meticulous records of all interactions with insurance representatives, including call notes and updated claim statuses in the billing system.</p></li><li><p>Trend Analysis: Identify recurring denial patterns and provide feedback to the billing and coding teams to minimize future revenue leakage.</p></li><li><p>KPI Tracking: Meet or exceed daily productivity targets (call volume) and quality benchmarks (collection rates).</p></li></ul><h3>Requirements & Qualifications</h3><ul><li><p>Experience: 1–4 years of proven experience as an AR Caller in the US Healthcare industry.</p></li><li><p>Expertise: Strong hands-on experience in Denial Management and a solid understanding of EOB (Explanation of Benefits) and ERA.</p></li><li><p>Skills: Excellent verbal communication and negotiation skills with a neutral or US-friendly accent.</p></li><li><p>Technical Knowledge: Familiarity with CPT, ICD-10, and HCPCS codes.</p></li><li><p>Reliability: Must be comfortable working the 5:00 PM shift and have a reliable means of self-transportation to the office (no cab facility).</p></li><li><p>Education: Any Graduate (Non-technical preferred).</p></li></ul><h3>Why Join Us?</h3><ul><li><p>Stability: This is a permanent, long-term opportunity with a clear growth path into Senior AR or Quality Analyst roles.</p></li><li><p>Competitive Pay: Attractive fixed salary + performance-based incentives.</p></li><li><p>Professional Growth: Work in a high-growth RCM environment with exposure to multiple US healthcare specialties.</p></li></ul><h3>experience</h3>2

(Accounts Receivable) callers in a BPO setting contact insurance companies to follow up on unpaid or denied claims.  This involves checking claim status, communicating with payers, resolving issues, documenting call details, and sometimes providing information on billing or payments.  By handling these calls, BPOs allow healthcare providers to focus on patient care and administrative tasks, making AR calling a common outsourced service. <h3>experience</h3>5

ROLE & RESPONSIBILITIES:<br />• Perform Patient AR analysis and check status by calling the Patient or web portal services.<br />• Maintain adequate documentation on the Billing software to send necessary statements to the Patients.<br />• Record after-call actions and perform post call analysis for the claim follow-up.<br />• Perform analysis of accounts receivable data and understand the reasons for the delay in patient’s responses.<br />• Process patient patients on the phone.<br />PREFERRED CANDIDATE PROFILE:<br />• Experience in Patient’s accounts receivable follow-up.<br />• Fluent verbal communication abilities.<br />• Strong Experience in Calling Patients to discuss pending bills.<br />• Willingness to work continuously in night shifts.<br />• Prior experience of working in a medical billing company and use of medical billing software. We will provide training on the medical billing software as part of the training.<br />• Knowledge of Healthcare terminology and ICD/CPT codes will be considered a plus.<br /> <h3>experience</h3>3