AR Caller

AuraRCM & Consulting Inc.; Chennai District; On-site; INR 300,000 - 420,000; Full time

Job summary

AuraRCM & Consulting Inc. in Chennai is seeking an AR Caller to support timely resolution of medical claims by performing outbound follow-ups with U.S. payer companies.

The role involves analyzing A/R, interpreting denial codes, taking corrective actions, and documenting outcomes in the billing system. You will collaborate with Coding and Process Trainers to resolve clarifications while maintaining professionalism and empathy.

Responsibilities

• Execute outbound calls to U.S. insurance companies to follow up on pending or denied medical claims.
• Analyze outstanding A/R reports and prioritize follow-up based on client SLAs.
• Identify payer-specific requirements, denial codes, and complex claim resolution pathways.
• Take corrective action on claims delayed or denied due to coding, documentation, or patient data issues.
• Document all call outcomes, claim statuses, and action plans in the client’s billing system.
• Collaborate with internal teams to secure information or resolve claim clarifications.
• Escalate complex or high-value unresolved claims to supervisory or payer levels.
• Achieve daily and weekly productivity and quality targets consistently.
• Maintain professionalism, integrity, and empathy during all interactions.

Job description

As an AR Caller, you will be responsible for the timely and accurate resolution of claims, serving as the critical link between the client and the payer:

• Execute outbound calls to U.S. insurance companies (commercial, federal, state) to follow up on pending or denied medical claims.
• Analyze outstanding Accounts Receivable (A/R) reports and prioritize follow-up based on client Service Level Agreements (SLAs).
• Identify and interpret payer‑specific requirements, denial codes, and complex claim resolution pathways.
• Take corrective action on claims delayed or denied due to coding, documentation, or patient data issues.
• Document all call outcomes, claim status updates, and action plans clearly and concisely in the client’s billing system.
• Collaborate with internal teams (e.g., Coding, Process Trainers) to secure necessary information or resolve claim clarifications.
• Escalate complex or high‑value unresolved claims to the appropriate supervisory or payer level.
• Achieve daily and weekly productivity and quality targets consistently.
• Maintain the highest level of professionalism, integrity, and empathy during all interactions.