RCM Specialist

1 week ago


Pune, Maharashtra, India SPRY PT Full time

Experience - 3-4 Years

Job Role- AR Caller

Location- Balewadi Highstreet

Key Responsibilities:

  • Make outbound calls to insurance companies to follow up on outstanding claims.
  • Review and resolve denials, rejections, and underpayments.
  • Understand US healthcare billing, coding, modifiers, and submission guidelines.
  • Analyze EOBs/ERAs and take appropriate action (re-submission, appeals, corrections).
  • Update patient accounts with accurate notes based on call outcomes.
  • Coordinate with internal teams to resolve coding, documentation, and eligibility issues.
  • Meet daily/weekly productivity and quality targets.
  • Maintain professionalism and follow compliance standards (HIPAA).

Required Skills & Qualifications:

  • 3–4 years of experience as an AR Caller in US Medical Billing.
  • Strong communication skills (verbal and written).
  • Good understanding of RCM cycle: AR follow-up, denials, appeals, payer guidelines.
  • Ability to handle complex claims, corrected claims, and multi-payer follow-ups.
  • Familiarity with EMR systems, billing portals, and clearinghouses.

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