foundit
Website:
foundit.ai
Job details:
AR Caller
Location: Hyderabad
Department: Revenue Cycle Management (RCM) – US Healthcare
Employment Type: Full-time
Shift: Rotational / US Shift
Job Profile Summary / Role Objective
The Accounts Receivable (AR) Follow-up team in a healthcare organization is responsible for managing denied or unpaid insurance claims and ensuring maximum reimbursement from insurance companies. The AR Caller will perform claim follow-ups, analyze denial reasons, and take corrective actions to prevent claim write-offs and improve cash collections.
Job Responsibilities
- Follow up with insurance payers to check claim status and ensure timely reimbursement.
- Identify denial reasons and take necessary action for claim resolution.
- Work on denied or underpaid claims and ensure proper follow-up to avoid claim write-offs.
- Maintain accurate documentation of call outcomes and claim updates in the system.
- Review Explanation of Benefits (EOB) and analyze claim payment discrepancies.
- Perform claim edits using billing scrubbers and ensure claims meet payer requirements.
- Work on contractual adjustments and write-off projects as required.
- Maintain strong productivity metrics such as cash collections and resolution rates.
- Demonstrate strong calling skills, probing abilities, and knowledge of denial management.
- Collaborate with internal teams such as billing, coding, and payment posting teams to resolve claim issues.
- Work in rotational shifts as required by the business.
Qualifications
- Graduate in any discipline from a recognized educational institute.
- Prior experience in AR Calling / Medical Billing / US Healthcare RCM is preferred.
- Good analytical and problem-solving skills.
- Proficiency in MS Word, Excel, and PowerPoint.
- Strong verbal and written communication skills.
Required Skill Set
- Good knowledge of Denial Management and AR Follow-up.
- Understanding of Medicare, Medicaid, and US Healthcare insurance processes.
- Knowledge of ICD, CPT codes, and medical billing terminology.
- Ability to interpret EOBs (Explanation of Benefits) and resolve claim issues.
- Strong interpersonal skills and ability to work effectively with team members and leadership.
Additional Requirements
- Willingness to work in rotational or night shifts.
- Strong attention to detail and ability to meet productivity targets.
- Ability to interact positively with team members, peers, and supervisors.
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