AR Calling

Credense Medical Billing; Hyderabad; On-site; INR 420,000 - 660,000; Full time

Job summary

Credense Medical Billing in Hyderabad, India, is seeking a US Healthcare AR professional with 1–3 years of experience in medical billing to join our team. You will handle outbound calls, follow up on unpaid or denied claims, and analyze AR aging to prioritize accounts.

The role requires familiarity with Medicare, Medicaid, CPT/ICD coding, and strong communication skills. Night shifts may be required and prior experience with AR software is a plus.

Qualifications

• 1-3 years of experience in US Healthcare AR and Medical Billing.
• Strong knowledge of US healthcare insurance and billing processes including Medicare/Medicaid.

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

Medical Billing

Communication

MS Office

Billing software

Tools

Billing software

MS Office

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.