Job Description

:
This role is for one of the Weekday's clients
Salary range: Rs 200000 - Rs 500000 (ie INR 2-5 LPA)
Min Experience: 1 years
Location: Hyderabad, Bengaluru, Chennai
JobType: full-time
We are seeking a detail-oriented and results-driven AR Caller Associate to join our Revenue Cycle Management (RCM) team. The ideal candidate will have 1 to 4 years of experience in handling accounts receivable processes, particularly with healthcare claims. As an AR Caller Associate, you will be responsible for initiating phone calls to insurance companies to follow up on outstanding claims, address denials, and resolve payment discrepancies to ensure timely and accurate reimbursement.
This role is critical to optimizing revenue collection and ensuring financial health for our clients in the healthcare sector. Prior experience in a Business Process Outsourcing (BPO) environment is highly desirable.
Requirements:
Key Responsibilities:

• Initiate outbound calls to insurance companies (payers) to follow up on pending or denied healthcare claims.
• Analyze and interpret explanation of benefits (EOBs) and remittance advice to identify issues in claim processing.
• Take appropriate action to resolve denials, underpayments, and other claim discrepancies.
• Accurately document the outcome of each call in the client's system and update records as per defined processes.
• Ensure timely and effective resolution of outstanding AR (Accounts Receivable) by prioritizing claims based on aging and value.
• Collaborate with internal teams (billing, coding, and quality assurance) to escalate and resolve recurring issues.
• Maintain a high level of compliance with HIPAA and internal data security policies.
• Meet daily, weekly, and monthly performance targets including number of calls made, claims resolved, and total collections.

• Minimum 1-4 years of experience in AR calling, preferably in a healthcare BPO environment.
• Strong knowledge of US healthcare revenue cycle, including claim submission, denial management, and follow-up procedures.
• Hands-on experience working with EOBs, denial codes, and insurance follow-up tools.
• Proficient in MS Office Suite (especially Excel and Word) and familiar with practice management systems and medical billing software.
• Excellent verbal communication and listening skills to liaise effectively with US-based insurance representatives.
• Ability to work in a target-driven environment with a focus on accuracy and speed.
• Strong analytical and problem-solving abilities to interpret data and resolve claim issues independently.
• Willingness to work in night shifts or US time zones, as required.

• Bachelor's degree in Commerce, Science, or a related field.
• Certification or formal training in medical billing or RCM processes.