AR Caller

3 days ago

Bengaluru, Karnataka, India Total RCM Solutions Full time ₹ 6,00,000 - ₹ 12,00,000 per year

Company Overview

Total RCM Solutions, LLC, a leader in revenue cycle management services since 2018, collaborates with healthcare providers across the United States. Equipped with over a century of combined industry expertise, we offer end-to-end RCM, appeal management, and patient service solutions. Located in Bangalore, we ensure seamless operations for our clients by providing comprehensive back-office support and innovative workflow processes.

Job Summary:

We are seeking an experienced AR Caller to join our growing medical billing team. The ideal candidate will have 2 to 4 years of hands-on experience in Accounts Receivable follow-up for US healthcare providers, with proficiency in ECW (eClinicalWorks) and Tebra/Kareo software. The AR Caller will be responsible for identifying unpaid or incorrectly paid claims, following up with insurance companies, resolving denials, and ensuring timely collections.

Key Responsibilities:
  • Review and analyze aging reports to follow up on outstanding claims.
  • Call insurance companies (Payers) to check the status of claims and initiate appropriate action.
  • Understand and interpret EOBs, denials, and payer correspondence.
  • Handle denials, rejections, and appeals promptly and effectively.
  • Document all activities performed on patient accounts clearly and accurately.
  • Utilize ECW and Tebra/Kareo for claims management, documentation, and payment posting.
  • Maintain productivity and quality targets as per organizational standards.
  • Work collaboratively with internal teams to resolve complex billing issues.
  • Escalate unresolved claims and denials to the appropriate team or supervisor.
  • Stay updated with payer policies, industry regulations, and compliance requirements.
Required Skills & Qualifications:
  • 24 years of experience in AR calling within the US healthcare domain.
  • Strong knowledge of medical billing processes, RCM workflow, and insurance guidelines.
  • Proficiency in eClinicalWorks (ECW) and Tebra/Kareo billing platforms is mandatory.
  • Experience handling claims for Medicare, Medicaid, and commercial insurances.
  • Excellent communication and negotiation skills in English (verbal and written).
  • Ability to work independently in a fast-paced environment.
  • Detail-oriented with strong analytical and problem-solving skills.
  • Familiarity with HIPAA regulations and compliance standards.
Preferred:
  • Experience in handling multi-specialty billing (optional).
  • Knowledge of CPT, ICD-10, and HCPCS codes.
  • Comfortable working in night shifts (if applicable).

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