Accounts Receivable Caller

StreamlineMD; Chennai; On-site; INR 350,000 - 700,000; Full time

Job summary

StreamlineMD in Chennai is seeking an AR Caller/Sr. AR Caller to resolve denied and past-due claims by analyzing histories and contacting payers.

You will work across billing and coding teams to improve reimbursement for radiology and related services. The role requires 2 to 4 years in US healthcare AR follow-up, familiarity with Availity/Navinet/Optum portals, and strong communication and problem-solving abilities.

Qualifications

• 2 to 4 years of experience in A/r follow-up (US healthcare) with a graduation.
• Good knowledge of insurance portals and claim status tools (e.g., Availity, Navinet, Optum websites).
• Experience with Medicare, Medicaid, and commercial payer follow-up.
• Excellent critical thinking and problem-solving skills.
• Results oriented, customer centric, team player.
• Strong verbal & written communication skills.
• Proficiency in MS Office tools.
• Ability to work independently and manage time effectively.

Responsibilities

• Review and analyse visits allocated for follow-up and resolution.
• Interpret the full account based on notes, EOBs, ERA, and denial codes.
• Understand issue and possible resolution within the system, clearinghouse or payer portal.
• Take appropriate action and capture clear notes.
• Call insurance companies when necessary and document notes.
• Meet daily productivity and quality targets related to claim resolution.
• Coordinate with billing, coding, calling, and payment posting teams.
• Stay updated with payer guidelines, HIPAA regulations, and CMS updates.
• Identify patterns related to insurance denials and implement root-cause resolutions.

Skills

MS Office

Communication

Time management

Problem solving

Team player

Independence

Education

Graduation

Tools

Availity

Navinet

Optum portals

Job description

Job Title: AR Caller/Sr. AR Caller

Reports To: Team Lead

Shift: 5:30PM - 2:30AM

Location: Chennai

Company Overview:

StreamlineMD provides Revenue Cycle Software and Service Solutions to Radiology and Interventional Specialists. Our Mission is to Improve Healthcare for All Americans. Our Core Values that guide us on our mission are Service Quality, Teamwork, Accountability, Efficiency, Adaptability, Communication, and Integrity.

Position Overview:

The AR Caller is responsible for resolving denied and past-due claims by analyzing claims history, reaching out to payers via digital or telephone and taking appropriate action to get them paid. This role supports root cause identification, escalates recurring issues, and collaborates across departments to improve reimbursement outcomes for radiology and interventional practices.

Essential Duties and Responsibilities:

• Review and analyse visits that have been allocated for follow-up and resolution.
• Understand and interpret the full account based on past notes, transactions, Explanation of Benefits (EOB), Electronic Remittance Advice (ERA), and denial codes.
• Understand the issue and possible resolution within the system, clearinghouse or payer portal.
• Take appropriate action as required based on solutions found and capture clear and concise notes.
• Call insurance company where necessary, understand the issue and possible resolution and take appropriate action and capture clear and concise notes.
• Meet Daily productivity and Quality targets related to claim resolution.
• Coordinate with internal teams (billing, coding, calling, payment posting) to address account issues.
• Stay updated with payer guidelines, HIPAA regulations, and CMS industry updates.
• Identify patterns related to insurance denials and implement cross-functional resolutions strategies to stem problems at the root-cause level.

Qualifications:

• 2 to 4 years of experience in A/r follow-up (US healthcare) with a graduation.
• Good knowledge of insurance portals and claim status tools (e.g., Availity, Navinet, Optum websites).
• Experience with Medicare, Medicaid, and commercial payer follow-up. Knowledge of healthcare reimbursement, denials and appeals.
• Excellent critical thinking and problem-solving skills.
• Results oriented, customer centric, team player.
• Strong verbal & written communication skills.
• Proficiency in MS Office tools.
• Ability to work independently and manage time effectively.