AR Caller (US Healthcare)

Job Title: AR Caller

Location: Hyderabad

Shift: Night Shift

Job Description:

As an AR Calling Specialist, you will be responsible for managing the Accounts Receivable (AR) process within the US healthcare revenue cycle. Your primary focus will be on following up with insurance companies for unpaid or denied claims, ensuring timely reimbursements, and reducing AR aging. You will work closely with payor portals, EMR/EHR systems, and clearinghouse platforms to resolve claim issues, identify denial trends, and maintain compliance with US healthcare regulations. Day to day:

• Perform outbound calls to insurance companies to follow up on unpaid, underpaid, or denied claims
• Analyze claim denials and initiate appropriate actions such as reprocessing, corrections, or appeals
• Check claim status via payor portals and calling, ensuring accurate documentation of all interactions
• Work on AR aging reports and prioritize high-value or time-sensitive accounts
• Resolve issues related to claim submission, coding errors, eligibility, and authorization gaps
• Initiate appeals and resubmissions with proper documentation and justification
• Collaborate with internal teams (billing, coding, front-end) to resolve discrepancies
• Maintain detailed and accurate notes in EMR/EHR systems for all follow-ups
• Meet daily productivity targets (calls, claims worked) and quality benchmarks
• Ensure compliance with HIPAA guidelines and organizational standards