Job Description

Job Summary

The AR Caller is responsible for following up on unpaid or denied medical claims with insurance companies to ensure timely reimbursement. The role involves communicating with payers, resolving claim issues, and maintaining accurate account records to reduce outstanding receivables.

Key Responsibilities

Contact insurance companies via phone, email, or payer portals to follow up on unpaid, underpaid, or denied claims Review Explanation of Benefits (EOBs) and remittance advice to identify payment discrepancies Analyze claim denials and take appropriate corrective actions (appeals, resubmissions, corrections) Work on aging AR accounts and prioritize claims based on payer guidelines and timelines Ensure compliance with payer policies, HIPAA regulations, and internal processes Document all follow-up activities accurately in billing systems Coordinate with coding, billing, and front-office teams to resolve claim issues Meet daily, weekly, and monthly productivity and collection targets Identify trends in denials and escalate recurring issues to management Maintain strong payer relationships through professional communication
Required Skills & Qualifications

Knowledge of medical billing, insurance processes, and revenue cycle management Familiarity with CPT, ICD-10, and HCPCS codes (preferred) Experience working with Medicare, Medicaid, and commercial payers Strong verbal communication and negotiation skills Ability to analyze EOBs and denial codes Proficiency in billing software and MS Excel Attention to detail and strong organizational skills Ability to work independently and manage high-volume workloads
Job Types: Full-time, Fresher

Pay: ₹9,110.31 - ₹31,201.21 per month

Benefits:

Provident Fund
Work Location: In person