Experienced AR Callers | AGS Health | Chennai

AGS Health; Zone 7 Ambattur; On-site; INR 300,000 - 540,000; Full time

Benefits offered by this job

Provident Fund (PF)

Employee State Insurance (ESI)

Gratuity

Health Insurance

Performance Bonus

Two-way cab facility within defined

Job summary

AGS Health seeks experienced professionals for US Healthcare AR Calling/RCM to follow up on outstanding claims and manage denials.

You will handle claim status checks, payment follow-ups, EOB/ERA understanding, and documentation while meeting daily targets and compliance requirements. Growth opportunities exist within a fast-paced healthcare BPO environment.

Qualifications

• 15 years of experience in US Healthcare AR Calling / RCM.
• Good knowledge of US healthcare insurance processes and medical billing.
• Strong verbal communication skills and the ability to interact confidently with US insurance representatives.
• Knowledge of claim status, denial management, payment follow-ups, and appeals.

Responsibilities

• Make outbound calls to US insurance companies to follow up on outstanding medical claims.
• Check claim status, payment details, denials, and underpaid claims.
• Identify reasons for claim rejections and denials and take appropriate action for resolution.
• Follow up with insurance companies regarding pending payments and claim adjudication.
• Work on denied, rejected, and unpaid claims to ensure timely reimbursement.
• Understand and work with EOBs (Explanation of Benefits) and ERAs (Electronic Remittance Advice).
• Maintain accurate documentation of all calls, claim updates, and follow-up actions.
• Meet daily productivity, quality, and collection targets.
• Escalate complex issues to the appropriate team for further resolution.
• Ensure compliance with HIPAA guidelines and company policies.

Skills

US Healthcare AR Calling

RCM knowledge

Verbal communication

Denial management

Negotiation skills

Independent worker

MS Office

Education

Graduate

Tools

MS Office

Job description

• Make outbound calls to US insurance companies to follow up on outstanding medical claims.
• Check claim status, payment details, denials, and underpaid claims.
• Identify reasons for claim rejections and denials and take appropriate action for resolution.
• Follow up with insurance companies regarding pending payments and claim adjudication.
• Work on denied, rejected, and unpaid claims to ensure timely reimbursement.
• Understand and work with EOBs (Explanation of Benefits) and ERAs (Electronic Remittance Advice).
• Maintain accurate documentation of all calls, claim updates, and follow-up actions.
• Meet daily productivity, quality, and collection targets.
• Escalate complex issues to the appropriate team for further resolution.
• Ensure compliance with HIPAA guidelines and company policies.

Required Skills

• 15 years of experience in US Healthcare AR Calling / RCM.
• Good knowledge of US healthcare insurance processes and medical billing.
• Strong verbal communication skills and the ability to interact confidently with US insurance representatives.
• Knowledge of claim status, denial management, payment follow-ups, and appeals.
• Good analytical, problem-solving, and negotiation skills.
• Ability to work independently and achieve performance targets.
• Familiarity with healthcare billing systems and MS Office is an added advantage.

Qualifications

• Any graduate preferred.
• Candidates with relevant US Healthcare AR Calling experience are encouraged to apply.

Benefits

• Provident Fund (PF)
• Employee State Insurance (ESI)
• Gratuity
• Health Insurance
• Performance Bonus
• Two-way cab facility within defined boundaries

Selection Process

1. HR Interview
2. Communication Assessment
3. Operations / Technical Interview