Red Sky Health
Website:
redskyhealth.com
Job details:
Company Description Red Sky Health is focused on helping healthcare providers get paid accurately and on time by automating the remediation and resubmission of health insurance claim denials. The company has developed Daniel, an AI platform that uses Machine Learning to analyze each denial, identify issues, and recommend real-time fixes so claims can be resubmitted for approval and payment. By combining advanced technology with deep knowledge of healthcare revenue cycles, Red Sky Health aims to reduce administrative burdens for providers. The organization’s vision is a healthcare environment where every claim denial is processed efficiently and accurately, allowing providers to spend more time on patient care. Team members contribute directly to improving financial outcomes and operational efficiency for healthcare organizations.
Role Description The Senior AR Caller will work full time on-site in Chennai, focusing on the end-to-end management of accounts receivable for healthcare clients. Day-to-day responsibilities include reviewing insurance claim denials, contacting payers to resolve outstanding issues, and documenting all conversations and outcomes in the AR system. The Senior AR Caller will analyze denial patterns, follow up on underpaid or unpaid claims, and ensure timely resubmission or escalation as needed. This role also involves collaborating with internal teams to provide feedback on process improvements, supporting junior AR callers with complex cases, and aligning efforts with Red Sky Health’s AI-driven workflows. The position requires consistent adherence to payer guidelines, compliance standards, and performance targets for productivity and resolution rates.
Qualifications
- Strong experience in healthcare accounts receivable, medical billing, and insurance claim follow-up, particularly with US healthcare payers.
- Solid knowledge of denial management processes, payer policies, CPT/ICD codes, and basic revenue cycle operations.
- Excellent communication skills in English, with the ability to conduct professional, effective calls with insurance companies and clearly document outcomes.
- Proficiency in AR and billing software; comfort working with technology-driven workflows and AI-enabled tools.
- Ability to analyze claim trends, identify root causes of denials, and recommend practical solutions for faster resolution.
- Demonstrated capability to work in a fast-paced, target-driven environment, with strong attention to detail and accuracy.
- Experience mentoring or guiding junior team members is preferred, along with a collaborative, team-oriented approach.
- Bachelor’s degree in any discipline is preferred; relevant certifications in medical billing or revenue cycle management are an advantage.
- Willingness to work on-site in Chennai and maintain flexible schedules aligned with international healthcare clients.
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