Website:
droidal.ai
Job details:
Job Title: Eligibility Verification / AR Caller (US Healthcare RCM)
Experience: 1–2 Years
Location: Coimbatore
Department: Revenue Cycle Management (RCM)
Employment Type: Full-Time
Job Summary
We are looking for a motivated and detail-oriented Eligibility Verification / AR Caller
with 1–2 years of experience in US Healthcare Revenue Cycle Management. The ideal
candidate should have hands-on experience in insurance eligibility verification and/or
Accounts Receivable (AR) calling, with strong communication skills and knowledge of
US healthcare insurance processes.
Key Responsibilities
Eligibility Verification
• Verify patient insurance eligibility and benefits through payer websites and
insurance portals.
• Contact insurance companies to confirm coverage, policy status, co-pay, coinsurance, deductible, and out-of-pocket details.
• Verify authorization and referral requirements prior to patient appointments.
• Document eligibility findings accurately in the practice management system.
• Identify inactive or invalid insurance coverage and escalate issues when
required.
• Ensure eligibility is completed within client-defined turnaround time.
Accounts Receivable (AR) Calling
• Contact insurance companies regarding outstanding claims.
• Follow up on denied, rejected, and pending claims.
• Analyze denial reasons and take appropriate corrective actions.
• Update claim status and call notes in the billing system.
• Coordinate with internal teams to resolve claim-related issues.
• Meet daily productivity and quality targets.
Required Skills
• 1–2 years of experience in US Healthcare RCM.
• Knowledge of Commercial, Medicare, and Medicaid insurance plans.
• Good understanding of:
o Eligibility & Benefits Verification
o AR Calling
o Claim Status
o Denial Management
o Prior Authorization (preferred)
• Excellent verbal communication skills.
• Strong analytical and problem-solving abilities.
• Good typing speed and computer proficiency.
• Ability to work in night shifts.
Preferred Knowledge
• HIPAA Compliance
• CPT, ICD-10, and HCPCS coding basics
• Insurance Portals
• EMR / EHR / Practice Management Systems
• Clearinghouses (Availity, Navinet, etc.)
Key Competencies
• Attention to Detail
• Effective Communication
• Customer Focus
• Time Management
• Team Collaboration
• Problem Solving
• Quality Orientation
• Accountability
Key Performance Indicators (KPIs)
• Daily Eligibility Verification Productivity
• AR Calls per Day
• Claims Resolved
• First Call Resolution
• Quality Score
• Accuracy
• Turnaround Time (TAT)
• Client SLA Adherence
Interested candidates share your updated resume to anitha@droidal.ai.
Click on Apply to know more.