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We are looking for an experienced and results-driven AR Caller specializing in Denial Management to join our Revenue Cycle Management (RCM) team. In this role, you will be the bridge between healthcare providers and US insurance companies. Your primary goal is to investigate unpaid or denied claims, resolve discrepancies, and ensure our clients receive maximum reimbursement in a timely manner.
Job Responsibility:
Proactively call US insurance companies (Medicare, Medicaid, and Commercial payers) to check the status of outstanding accounts receivable
Analyze and resolve claim denials (COB, Medical Necessity, Authorization issues, etc.) by identifying the root cause and taking corrective action
Prepare and submit formal appeals for denied claims and handle the resubmission of corrected claims
Maintain meticulous records of all interactions with insurance representatives, including call notes and updated claim statuses in the billing system
Identify recurring denial patterns and provide feedback to the billing and coding teams to minimize future revenue leakage
Meet or exceed daily productivity targets (call volume) and quality benchmarks (collection rates)
Requirements:
1–4 years of proven experience as an AR Caller in the US Healthcare industry
Strong hands-on experience in Denial Management and a solid understanding of EOB (Explanation of Benefits) and ERA
Excellent verbal communication and negotiation skills with a neutral or US-friendly accent
Familiarity with CPT, ICD-10, and HCPCS codes
Must be comfortable working the 5:00 PM shift and have a reliable means of self-transportation to the office (no cab facility)
Any Graduate (Non-technical preferred)
What we offer:
Stability: This is a permanent, long-term opportunity with a clear growth path into Senior AR or Quality Analyst roles