AR Caller

Pena4 Tech Solutions; Hyderabad; Presencial; INR 279.000 - 558.000; Jornada completa

Descripción de la vacante

Pena4 Tech Solutions is hiring an AR Caller to manage accounts receivable with payer follow-ups, denials resolution, and documentation in the billing system.

The role emphasizes accuracy, HIPAA compliance, and adherence to client guidelines while meeting daily productivity targets and quality benchmarks.

Formación

• 1–3 years of experience in US Healthcare AR follow-up
• Freshers with relevant RCM training may be considered
• Graduate preferred

Responsabilidades

• AR Follow-Up & Account Resolution
• Perform outbound calls to insurance payers to follow up on outstanding claims
• Work assigned AR inventory and prioritize accounts based on aging and client guidelines
• Analyze claim status and resolve routine denials, underpayments, and rejections
• Initiate claim corrections, re-submissions, reconsiderations, or appeals
• Ensure timely resolution to prevent timely filing issues and revenue loss
• Documentation & Compliance
• Maintain detailed and compliant notes as per client and payer requirements
• Adhere to HIPAA regulations and maintain confidentiality of patient information
• Follow client-specific SOPs and process updates
• Productivity & Quality Standards
• Meet daily, weekly, and monthly productivity targets
• Maintain quality benchmarks and minimize documentation or processing errors
• Participate in internal quality audits and implement feedback for improvement
• Ensure accuracy before claim submission or escalation
• Team Collaboration & Escalation
• Escalate complex, high-value, or unresolved accounts to the Senior AR Caller or Team Lead
• Participate in team meetings, huddles, and training sessions
• Stay updated with payer changes, process updates, and client communications

Conocimientos

AR Follow-Up

Payer Communications

Documentation

Attention to detail

HIPAA Compliance

Educación

Graduate degree preferred

Descripción del empleo

Job Summary

Role Overview - AR CallerThe AR Caller is responsible for managing assigned insurance accounts receivable by conducting payer follow-ups, resolving claim issues, and ensuring accurate documentation. The role focuses on reducing AR aging, improving cash flow, and meeting defined productivity and quality benchmarks.This position requires strong communication skills, attention to detail, and adherence to client guidelines, payer policies, and compliance standards.

Responsibilities

• AR Follow-Up & Account Resolution
• Perform outbound calls to insurance payers to follow up on outstanding claims.
• Work assigned AR inventory and prioritize accounts based on aging and client guidelines.
• Analyze claim status and resolve routine denials, underpayments, and rejections.
• Initiate claim corrections, re-submissions, reconsiderations, or appeals as required.
• Ensure timely resolution to prevent timely filing issues and revenue loss.
• Documentation & Compliance
• Accurately document all call outcomes, claim actions, and next steps in the billing system.
• Maintain detailed and compliant notes as per client and payer requirements.
• Adhere to HIPAA regulations and maintain confidentiality of patient information.
• Follow client-specific SOPs and process updates.
• Productivity & Quality Standards
• Meet daily, weekly, and monthly productivity targets.
• Maintain quality benchmarks and minimize documentation or processing errors.
• Participate in internal quality audits and implement feedback for improvement.
• Ensure accuracy before claim submission or escalation.
• Team Collaboration & Escalation
• Escalate complex, high-value, or unresolved accounts to the Senior AR Caller or Team Lead.
• Participate in team meetings, huddles, and training sessions.
• Stay updated with payer changes, process updates, and client communications.

Requirements

• Experience
• 1-3 years of experience in US Healthcare AR follow-up preferred.
• Freshers with relevant RCM training may be considered.

Qualifications

• Education
• Graduate preferred.