Senior Ar Caller

3 days ago

Gurgaon, Haryana, India Commure Full time ₹ 9,00,000 - ₹ 12,00,000 per year

About the Role:

We are seeking an experienced and detail-oriented AR Denials Management Specialist to join our Revenue Cycle Management team. The ideal candidate will have a strong background in denials resolution, accounts receivable follow-up, and payer communication with hands-on experience in both professional (physician) and hospital billing. You will play a key role in reducing denials, accelerating cash flow, and improving revenue cycle performance by identifying root causes and driving successful claim resolution.

Key Responsibilities:

  • • Denial Management & Resolution
  • • Analyze, prioritize, and resolve denied or underpaid claims from payers for both professional and hospital billing accounts.
  • • Investigate root causes of denials and execute corrective actions for timely reimbursement.
  • • Appeal incorrect denials with appropriate documentation and follow through until resolution.
  • • Perform proactive follow-up on outstanding claims with payers via phone, portals, or written correspondence.
  • • Ensure compliance with payer-specific requirements and timely filing deadlines.
  • • Documentation & Reporting
  • • Accurately document denial reasons, follow-up actions, and appeal outcomes in the billing system.

Required Qualifications:

  • • Education: Bachelors degree preferred (or equivalent healthcare revenue cycle experience).
  • • Experience: 1–5+ years of AR follow-up and denials management experience in a healthcare RCM environment.
  • • Strong knowledge of CPT, ICD-10, HCPCS codes, modifiers, and payer billing guidelines.
  • • Hands-on experience with professional (physician) and hospital billing workflows.
  • • Familiarity with EOBs, remittance advices, and denial codes (CARC/RARC).
  • • Proficiency in healthcare billing software / EHR systems (e.g., Epic, Athena, NextGen, Meditech, etc.).
  • • Excellent written and verbal communication skills with strong analytical and problem-solving abilities.

Preferred Skills:

  • • Experience working with Medicare, Medicaid, and commercial payers.
  • • Strong understanding of payer appeal processes and reimbursement methodologies.
  • • Ability to work in a fast-paced, target-driven environment and manage multiple priorities.
  • • Knowledge of HIPAA compliance and patient confidentiality standards.

Why Join Us:

  • • Competitive salary and performance-based incentives.
  • • Opportunities for career growth within the RCM domain.
  • • Collaborative team culture focused on innovation and continuous improvement.
  • • Exposure to diverse payer systems and complex billing scenarios.

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