AR Callers
2 days ago
Job Title: AR Caller / AR Follow-up Specialist
Department: Medical Billing / Revenue Cycle Management
Location: Tidel Park - Coimbatore
Shift: US Shift (Night Shift)
Job Summary
The AR Caller is responsible for following up with insurance companies to check the status of medical claims, resolve denials, and ensure timely reimbursement for healthcare providers. The role involves outbound calling, claim analysis, denial management, and documentation.
Key Responsibilities
Insurance Follow-up
- Make outbound calls to insurance companies to follow up on unpaid or underpaid claims.
- Check claim status: paid, denied, pending, or additional information required.
- Ensure adherence to payer-specific guidelines.
Claims Analysis
- Review claim history, coding, and payer responses.
- Identify reasons for non-payment (denials, rejections, missing info, etc.).
- Take corrective actions such as appeals, reprocessing, coding clarification, or updating patient/insurance details.
Denial Management
- Understand and resolve common denials (CO, PR, OA, etc.).
- Initiate re-submissions or appeals with the necessary documentation.
Documentation
- Update the billing system with clear, concise call notes and actions taken.
- Maintain accurate records of follow-up activities and claim status.
Communication & Coordination
- Coordinate with the coding, charge entry, and payment posting teams.
- Communicate payer requirements and trends to internal teams.
Performance Metrics
- Meet daily and weekly productivity targets:
- Number of calls made
- Claims worked
- Daily resolved accounts
- Maintain quality and compliance standards.
Required Skills & Qualifications
- Strong communication skills in English (both verbal and written).
- Good understanding of US healthcare, medical billing, CPT, ICD, HCPCS codes, and insurance terminology.
- Experience in AR follow-up, denial management, or US RCM preferred.
- Ability to work night shifts (US time zones).
- Basic computer skills and familiarity with medical billing software (e.g., Epic, Athena, Kareo, eClinicalWorks).
Preferred Experience
- 1–3 years of experience as an AR Caller / AR Analyst / AR Follow-up Specialist.
- Knowledge of Medicare, Medicaid, and commercial payer guidelines.
For Queries:
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Location - Tidel Park
We look forward to hearing from you
Job Type: Full-time
Pay: ₹12, ₹25,000.00 per month
Benefits:
- Provident Fund
Work Location: In person
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