Job Description

Job Title: Senior AR Caller / AR Follow-up Executive – US Healthcare RCM

📍 Location: Gurugram, Sector 18
🕒 Work Mode: Work from Office
📄 Employment Type: Full-Time

About the Role

We are hiring an experienced Senior AR Caller (US Healthcare RCM) with strong hands-on exposure to insurance calling, AR follow-up, and denial management

This role is ideal for candidates who actively call US insurance payers, work on unpaid and denied claims, and are comfortable handling end-to-end AR processes

If you have solid experience in US insurance follow-ups, denial resolution, and appeals, this role is for you.

Key Responsibilities

• Perform insurance follow-up calls with US payers for unpaid & denied claims

• Work on denial analysis and resolution, including:

  • No Authorization

  • Duplicate / Bundled / Inclusive

  • COB (Coordination of Benefits)

  • Medical Necessity

  • Timely Filing

  • Non-Covered Services

• Check claim status via payer portals & live calls

• Take corrective actions such as:

  • Resubmissions

  • Appeals

  • Documentation requests

• Coordinate with coding & billing teams to fix claim errors

• Perform eligibility & benefit verification when required

• Post ERA/EOB and update payment details accurately

• Maintain accurate call notes and follow-up documentation in the system

• Ensure compliance with HIPAA and internal quality standards

Required Skills & Experience

• 2+ years of hands-on experience as an AR Caller / AR Follow-up Executive

• Strong insurance calling experience (US Healthcare)

• Practical knowledge of:

  • AR Follow-up

  • Denial Management

  • Appeals & Resubmissions

• Experience working with Medicare, Medicaid, and Commercial payers

• Familiar with EOB/ERA posting and claim lifecycle

• Good English communication skills (voice role – mandatory)

• Comfortable working in targets-driven AR environment

Good to Have (Not Mandatory)

• Exposure to multiple specialties (Physician / Hospital AR)

• Knowledge of credentialing

• Experience with US healthcare billing software / EMR

Why Join Us?

• Stable US Healthcare RCM process

• Opportunity to work on complex denials & payer interactions

• Supportive team environment

• Career growth in AR & Revenue Cycle Management

• Competitive salary + performance incentives