AR Caller

Credense Medical Billing Pvt Ltd; Hyderabad; On-site; INR 300,000 - 450,000; Full time

Job summary

Credense Medical Billing Pvt Ltd is seeking a capable professional to handle US healthcare AR calling and medical billing tasks from Hyderabad. The role focuses on following up with insurers, checking claim status, and resolving denials while coordinating with internal teams.

You will analyze AR aging, maintain records, and ensure timely follow-up to minimize outstanding AR. Excellent communication and problem-solving skills are essential for success.

Qualifications

• 1-3 years of experience in US healthcare AR calling / medical billing.
• Strong knowledge of US healthcare insurance and billing processes.
• Familiarity with Medicare, Medicaid, Commercial payers and other payers.

Responsibilities

• Follow up with insurance companies regarding unpaid, underpaid, and denied claims.
• Make outbound calls to insurance providers to check claim status and payment details.
• Analyze AR aging reports and prioritize outstanding accounts.
• Identify and resolve claim denials, rejections, and payment discrepancies.
• Work on insurance appeals and coordinate with internal teams for required documentation.
• Maintain accurate records of payer conversations, claim status, and follow-up actions.
• Meet daily productivity and quality targets.
• Escalate complex claims and recurring issues to the appropriate team.
• Ensure timely follow-up on assigned accounts to minimize outstanding AR.
• Maintain confidentiality of patient and billing information.

Skills

US Healthcare AR

Calling/Medical Billing

Communication skills

Negotiation

MS Office

Analytics

Education

Any graduate degree

Tools

Billing software

EOB/ERA knowledge

Job description

Key Responsibilities

• Follow up with insurance companies regarding unpaid, underpaid, and denied claims.


• Make outbound calls to insurance providers to check claim status and payment details.


• Analyze AR aging reports and prioritize outstanding accounts.


• Identify and resolve claim denials, rejections, and payment discrepancies.


• Work on insurance appeals and coordinate with internal teams for required documentation.


• Maintain accurate records of payer conversations, claim status, and follow-up actions.


• Meet daily productivity and quality targets.


• Escalate complex claims and recurring issues to the appropriate team.


• Ensure timely follow-up on assigned accounts to minimize outstanding AR.


• Maintain confidentiality of patient and billing information.

Required Skills

• 1- 3 years of experience in US Healthcare AR Calling / Medical Billing.


• Good knowledge of the US healthcare insurance and billing process.


• Familiarity with Medicare, Medicaid, Commercial Insurance, and other payers.


• Knowledge of claim status, denials, EOB/ERA, CPT, ICD, and basic medical billing concepts.


• Excellent verbal and written communication skills.


• Good negotiation, analytical, and problem-solving abilities.


• Comfortable working with MS Office and billing/AR software.


• Ability to work independently and meet targets.

Preferred Qualifications

• Any graduate degree or equivalent qualification.


• Experience with US healthcare RCM/BPO processes is preferred.


• Willingness to work in US/night shifts.