AR Caller / Senior AR Caller

Calpion Software Technologies; Bengaluru; On-site; INR 350,000 - 600,000; Full time

Benefits offered by this job

Competitive salary

Performance incentives

Career growth

Health benefits

Job summary

Calpion Software Technologies in Bengaluru seeks experienced AR Callers with strong knowledge of Hospital Billing and Physician Billing in the US Healthcare domain. You will follow up with insurance companies on unpaid claims, identify denial reasons, and pursue timely reimbursement.

Responsibilities include following up via calls and payer portals, analyzing denied claims, reviewing EOBs, initiating appeals, and ensuring compliance with HIPAA.

Qualifications

• 1-5 years of experience in US Healthcare AR Calling.
• Hands-on experience in Hospital Billing and Physician Billing.
• Strong knowledge of claim lifecycle, denial management, and payment posting concepts.
• Familiarity with Medicare, Medicaid, and Commercial Insurance payers.
• Experience handling denials, appeals, and account receivable follow-up.
• Good communication and analytical skills.
• Ability to work in a fast-paced environment and achieve targets.

Responsibilities

• Follow up on outstanding claims with insurance companies via calls and payer portals.
• Analyze and resolve unpaid, denied, underpaid, or rejected claims.
• Work on both Hospital Billing and Physician Billing accounts.
• Review EOBs (Explanation of Benefits) and identify payment discrepancies.
• Initiate appeals and reprocessing requests for denied claims.
• Ensure compliance with HIPAA and client-specific guidelines.
• Maintain productivity and quality targets as defined by the organization.
• Document claim status and follow-up details accurately in the billing system.
• Coordinate with internal teams to resolve claim-related issues.

Skills

US Healthcare AR Calling

Hospital Billing

Physician Billing

Claim lifecycle

Denial management

Payment posting

Medicare/Medicaid/Commercial Insurance

Denials/appeals/AR follow-up

Communication skills

Analytical skills

Fast-paced environment

Education

Graduate in any discipline

Job description

We are seeking experienced AR Callers with strong knowledge of Hospital Billing and Physician Billing processes in the US Healthcare domain. The candidate will be responsible for following up with insurance companies on unpaid claims, identifying denial reasons, and ensuring timely reimbursement.

Key Responsibilities

• Follow up on outstanding claims with insurance companies via calls and payer portals.
• Analyze and resolve unpaid, denied, underpaid, or rejected claims.
• Work on both Hospital Billing and Physician Billing accounts.
• Review EOBs (Explanation of Benefits) and identify payment discrepancies.
• Initiate appeals and reprocessing requests for denied claims.
• Ensure compliance with HIPAA and client-specific guidelines.
• Maintain productivity and quality targets as defined by the organization.
• Document claim status and follow-up details accurately in the billing system.
• Coordinate with internal teams to resolve claim-related issues.

Required Skills

• 1-5 years of experience in US Healthcare AR Calling.
• Hands-on experience in Hospital Billing and Physician Billing.
• Strong knowledge of claim lifecycle, denial management, and payment posting concepts.
• Familiarity with Medicare, Medicaid, and Commercial Insurance payers.
• Experience handling denials, appeals, and account receivable follow-up.
• Good communication and analytical skills.
• Ability to work in a fast-paced environment and achieve targets.

Preferred Qualifications

• Graduate in any discipline.
• Experience working with major EMR/EHR or medical billing platforms.
• Knowledge of CPT, ICD-10, and HCPCS coding concepts is an added advantage.

Benefits

• Competitive salary
• Incentives based on performance
• Career growth opportunities
• Health and employee benefits

Immediate joiners preferred.