Accounts Receivable Caller

Qzigma Technologies; Bengaluru; On-site; INR 300,000 - 480,000; Full time

Job summary

Qzigma Technologies in Bengaluru seeks an Accounts Receivable Caller to join our Medical Billing team. You will follow up with insurance companies on unpaid or denied claims, verify eligibility and PA, and help ensure timely reimbursements.

The role requires 1–6 years of medical billing experience, strong communication, and knowledge of US healthcare processes and billing standards. Join a detail‑oriented team focused on accuracy and efficiency.

Qualifications

• 1 to 6 years of experience in Medical Billing, Revenue Cycle Management, or AR Calling.
• Hands-on experience in AR Calling, Prior Authorization (PA), and Eligibility & Benefits Verification.
• Good understanding of US Healthcare, Medical Billing, and Insurance Processes.
• Familiarity with CPT, ICD, HCPCS codes, and medical terminology.
• Strong verbal communication and negotiation skills.
• Proficiency in MS Office and healthcare billing software.

Responsibilities

• Review unpaid, denied, or underpaid insurance claims and work to resolve them.
• Follow up with insurance companies via calls and payer portals to ensure timely claim resolution.
• Investigate claim denials and identify root causes of payment delays.
• Work on aging reports and prioritize high-value outstanding accounts.
• Perform PA activities for medical procedures and obtain required approvals.
• Coordinate with insurance providers to obtain necessary authorizations.
• Document claim status and follow-up actions, and escalate complex issues when needed.
• Maintain complete payer interaction records and update billing systems and claim tools.
• Prepare daily productivity and status reports.
• Follow HIPAA guidelines and protect patient information, adhering to client processes.

Skills

AR Calling

Prior Authorization

Eligibility Verification

US Healthcare Knowledge

Denials Management

Communication Skills

MS Office

Billing Software

Tools

Payer Portals

Healthcare Billing Software

Job description

Qzigma Technologies is looking for a skilled and detail-oriented Accounts Receivable (AR) Caller to join our Medical Billing team. The ideal candidate should have hands-on experience in Accounts Receivable, Prior Authorization (PT), Eligibility & Benefits Verification, and healthcare revenue cycle management. The candidate will be responsible for following up with insurance companies regarding outstanding claims, resolving denials, and ensuring timely reimbursement.

Note: Experience in Prior Authorization and Eligibility & Benefits Verification must be clearly mentioned in the CV.

Key Responsibilities

Accounts Receivable Management

• Review and analyze unpaid, denied, or underpaid insurance claims.
• Follow up with insurance companies through calls and payer portals to ensure timely claim resolution.
• Investigate claim denials and identify the root cause of payment delays.
• Work on aging reports and prioritize high-value outstanding accounts.

Prior Authorization & Verification

• Perform Prior Authorization (PA) activities for medical procedures and treatments.
• Conduct Eligibility and Benefits Verification before claim submission.
• Coordinate with insurance providers to obtain required approvals and authorizations.

Claims Resolution

• Resolve denied, rejected, and pending claims by communicating with insurance representatives.
• Ensure accurate documentation of claim status and follow-up actions.
• Escalate complex issues when necessary and track them through resolution.

Documentation & Reporting

• Maintain complete and accurate records of payer interactions.
• Update billing systems, AR reports, and claim management tools.
• Prepare daily productivity and status reports.

Compliance & Quality

• Follow HIPAA guidelines and healthcare industry regulations.
• Ensure confidentiality of patient information and billing records.
• Adhere to client-specific processes and quality standards.

Required Qualifications

• 1 to 6 years of experience in Medical Billing, Revenue Cycle Management, or AR Calling.
• Hands-on experience in:
• Accounts Receivable (AR) Calling
• Prior Authorization (PT)
• Eligibility & Benefits Verification
• Good understanding of US Healthcare, Medical Billing, and Insurance Processes.
• Knowledge of claim lifecycle, denials management, and reimbursement processes.
• Familiarity with CPT, ICD, HCPCS codes, and medical terminology.
• Strong verbal communication and negotiation skills.
• Ability to analyze EOBs, ERAs, and denial reasons.
• Proficiency in MS Office and healthcare billing software.

Preferred Skills

• Experience with physician billing or hospital billing processes.
• Strong problem-solving and analytical abilities.
• Ability to work under pressure and meet productivity targets.
• Excellent organizational and time management skills.
• Team-oriented mindset with strong attention to detail.