RCM AR Caller

Streamlinemd; Chennai; On-site; INR 300,000 - 540,000; Full time

Job summary

StreamlineMD seeks an AR Caller in Chennai to resolve denied and past-due claims by analyzing claim histories, contacting payers via phone or digital channels, and driving timely payments for radiology and interventional practices.

You will collaborate with billing, coding, and posting teams, stay updated on HIPAA regulations and CMS guidelines, and maintain clear, concise notes while meeting daily productivity and quality targets.

Qualifications

• 2 to 4 years of experience in A/R follow-up (US healthcare) with a graduation.
• Good knowledge of insurance portals and claim status tools (e.g., Availity, Navinet, Optum websites).
• Experience with Medicare, Medicaid, and commercial payer follow-up.
• Knowledge of healthcare reimbursement, denials and appeals.
• Excellent critical thinking and problem-solving skills.
• Results oriented, customer centric, team player.
• Strong verbal & written communication skills.
• Proficiency in MS Office tools.
• Ability to work independently and manage time effectively.

Responsibilities

• Review and analyse visits that have been allocated for follow-up and resolution.
• Understand and interpret the full account based on past notes, transactions, Explanation of Benefits (EOB), Electronic Remittance Advice (ERA), and denial codes.
• Understand the issue and possible resolution within the system, clearinghouse or payer portal.
• Take appropriate action as required based on solutions found and capture clear and concise notes.
• Call insurance company where necessary, understand the issue and possible resolution and take appropriate action and capture clear and concise notes.
• Meet Daily productivity and Quality targets related to claim resolution.
• Coordinate with internal teams (billing, coding, calling, payment posting) to address account issues.
• Stay updated with payer guidelines, HIPAA regulations, and CMS industry updates.
• Identify patterns related to insurance denials and implement cross-functional resolutions strategies to stem problems at the root-cause level.

Skills

A/R follow-up

US healthcare

Critical thinking

Problem-solving

Time management

Verbal communication

Written communication

Team player

Customer focus

MS Office

Education

Graduation

Tools

Availity

Navinet

Optum

Job description

Job Title: AR Caller

Reports To: Team Lead

Location:Chennai

Company Overview: StreamlineMD provides Revenue Cycle Software and Service Solutions to Radiology and Interventional Specialists. Our Mission is to Improve Healthcare for All Americans. Our Core Values that guide us on our mission are Service Quality, Teamwork, Accountability, Efficiency, Adaptability, Communication, and Integrity.

Position Overview: The AR Caller is responsible for resolving denied and past-due claims by analyzing claims history, reaching out to payers via digital or telephone and taking appropriate action to get them paid. This role supports root cause identification, escalates recurring issues, and collaborates across departments to improve reimbursement outcomes for radiology and interventional practices.

Essential Duties and Responsibilities:

• Review and analyse visits that have been allocated for follow-up and resolution.
• Understand and interpret the full account based on past notes, transactions, Explanation of Benefits (EOB), Electronic Remittance Advice (ERA), and denial codes.
• Understand the issue and possible resolution within the system, clearinghouse or payer portal.
• Take appropriate action as required based on solutions found and capture clear and concise notes.
• Call insurance company where necessary, understand the issue and possible resolution and take appropriate action and capture clear and concise notes.
• Meet Daily productivity and Quality targets related to claim resolution.
• Coordinate with internal teams (billing, coding, calling, payment posting) to address account issues.
• Stay updated with payer guidelines, HIPAA regulations, and CMS industry updates.
• Identify patterns related to insurance denials and implement cross-functional resolutions strategies to stem problems at the root-cause level.

Qualifications:

• 2 to 4 years of experience in A/R follow-up (US healthcare) with a graduation.
• Good knowledge of insurance portals and claim status tools (e.g., Availity, Navinet, Optum websites).
• Experience with Medicare, Medicaid, and commercial payer follow-up.
• Knowledge of healthcare reimbursement, denials and appeals.
• Excellent critical thinking and problem-solving skills.
• Results oriented, customer centric, team player.
• Strong verbal & written communication skills.
• Proficiency in MS Office tools.
• Ability to work independently and manage time effectively.