AR Caller

Job Description – AR Caller (Accounts Receivable Caller)

Position:

AR Caller

Department:

RCM – Medical Billing

Location:

Ambattur Chennai

Employment Type:

Full-time

About the Role

The AR Caller is responsible for handling medical billing follow-up by communicating with insurance companies to resolve outstanding claims. The role involves reviewing claims, identifying issues, coordinating with payers, and ensuring timely reimbursement. Strong understanding of US healthcare processes, denial management, and insurance guidelines is essential.

Key Responsibilities

·         Make outbound calls to insurance carriers regarding pending or unpaid claims.

·         Follow up on claims submitted through CMS-1500 and UB-04 forms.

·         Perform regular follow-up for Medicare, Medicaid, and commercial insurance claims.

·         Analyze claim denials and non-covered charges.

·         Handle denial codes, understand root causes, and work towards resolution.

·         Coordinate appeals and ensure timely submission as per payer guidelines.

·         Understand hospital billing workflows and requirements.

·         Knowledge of basic CPT codes and medical terminology.

·         Verify claim status and interpret adjudication results from payers.

·         Review authorization requirements for claims.

·         Navigate major insurance portals to check claim status and submit disputes.

·         Manage dispute submissions for underpaid or denied claims.

·         Document call outcomes accurately in billing systems.

·         Escalate unresolved issues to the team lead or supervisor.

Required Skills & Qualifications

·         1–2 years of experience as an AR Caller or in US Medical Billing.

·         Strong knowledge of hospital billing, claim adjudication, and authorization workflows.

·         Understanding of non-covered charges and denial management.

·         Familiarity with CMS-1500 and UB-04 claim forms.

·         Knowledge of basic CPT codes.

·         Experience using insurance portals.

·         Excellent verbal communication skills (English).

·         Ability to work in a fast-paced environment and meet targets.

Preferred Skills

·         Experience with EMR/RCM software.

·         Knowledge of Medicare/Medicaid guidelines.

·         Analytical mindset for identifying claim issues.

PF, Gratuity, Mediclaim