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7 days ago
**AR Caller (Accounts Receivable) - Denial Management**
**Experience Required**: 1-3 years in AR Calling with Denial Management
**Job Summary**
We are looking for a dedicated and detail-oriented **AR Caller with experience in Denial Management** to join our RCM team. The role involves working with US-based healthcare clients to resolve insurance claim denials, reduce aging A/R, and ensure timely follow-up on unpaid claims.
**Key Responsibilities**:
- Call insurance companies in the US to follow up on outstanding claims.
- Analyze and understand the reason for denials and take appropriate actions.
- Initiate appeals, re-submissions, or corrective actions as per payer guidelines.
- Work closely with billing teams to resolve coding, billing, or documentation issues causing denials.
- Document all call interactions and update the billing software/system with the outcome.
- Meet daily productivity and quality targets.
- Provide feedback and trends related to recurring denials to management or clients.
- Escalate complex denial cases to senior analysts or team leads as needed.
**Required Skills**:
- 1+ years of experience in AR calling with a strong focus on **denial resolution**.
- Good understanding of US healthcare RCM process, including CPT, ICD, and HCPCS codes.
- Familiarity with EOBs (Explanation of Benefits) and ERA (Electronic Remittance Advice).
- Strong communication skills (verbal and written) with a neutral accent.
- Working knowledge of billing software (e.g., Athena, Epic, Kareo, AdvancedMD, etc.) is a plus.
- Ability to work in a fast-paced environment and handle high call volumes.
**Education**:
- Preferred: Bachelors / Masters
**Preferred Qualifications**:
- Experience handling denials for multiple specialties (e.g., radiology, DME, pathology, etc.)
- Prior experience with tools like Availity, Navinet, or payer portals.
- Certification in Medical Billing/Coding (CPC, CPB) is a plus.
**Job Types**: Full-time, Permanent
Pay: Up to ₹460,000.00 per year
**Benefits**:
- Food provided
- Health insurance
- Provident Fund
Schedule:
- US shift
Work Location: In person
Expected Start Date: 01/08/2025
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