AR Caller

18 hours ago

Bengaluru, Karnataka, India Total RCM Solutions Full time ₹ 6,00,000 - ₹ 18,00,000 per year

Job Title: AR Caller (Medical Billing) NextGen & eCW Experience

Location: Bangalore

Job Type: [Full-time]

Experience Required: 15 years in AR calling with hands-on experience in NextGen and eCW software.

Job Summary:

We are seeking a detail-oriented and experienced AR Caller to join our medical billing team. The ideal candidate will have direct experience with NextGen and eClinicalWorks (eCW) software, possess excellent communication skills, and have a solid understanding of the revenue cycle management (RCM) process.

Key Responsibilities:
  • Make outbound calls to insurance companies to resolve outstanding claims.
  • Analyze denied claims and follow up with payers for claim resolution.
  • Update the billing system (NextGen/eCW) with accurate and complete notes after each call.
  • Review and interpret Explanation of Benefits (EOBs), denials, and remittance advice.
  • Work on rejections, appeals, and reconsiderations as needed.
  • Maintain productivity and quality metrics as set by the team lead or manager.
  • Collaborate with internal teams for accurate coding, billing, and documentation issues.
  • Handle patient calls or inquiries related to outstanding balances if required.
  • Adhere to HIPAA guidelines and organizational policies.
Required Skills and Qualifications:
  • 15 years of AR calling experience in the US healthcare industry.
  • Proficiency in NextGen and eClinicalWorks (eCW) billing software.
  • Strong knowledge of the US healthcare revenue cycle, including claims submission, denials, and follow-ups.
  • Excellent verbal and written communication skills.
  • Ability to work independently and in a team environment.
  • Strong analytical and problem-solving abilities.
Preferred Qualifications:
  • Experience with other practice management or EHR systems is a plus.
  • Knowledge of medical terminology and CPT/ICD-10 codes.
  • Prior experience in a BPO/KPO or medical billing company preferred.

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