Senior Ar Caller

Zebl India Private Limited; Hyderabad; On-site; INR 450,000 - 750,000; Full time

Job summary

Zebl India Private Limited in Hyderabad seeks an experienced US Healthcare RCM professional to join our team as an AR Caller. You will manage and follow up on outstanding AR for US healthcare clients, perform insurance follow-ups, investigate denials, and work with cross-functional teams to resolve claims.

You should have 2–5 years of AR calling, denial management, and strong knowledge of the US revenue cycle.

Qualifications

• Bachelor’s degree or equivalent; healthcare/RCM qualifications are a plus.
• 2–5 years of US Healthcare RCM experience, preferably AR.
• Strong AR calling, insurance follow-up, denial management, and claim resolution.
• Good understanding of US healthcare revenue cycle, EOBs/ERAs, and payer processes.
• Experience with aging reports and outstanding claims.
• Excellent verbal and written communication with professional telephone etiquette.
• Ability to handle high-volume work while meeting productivity and quality targets.

Responsibilities

• Manage and follow up on outstanding AR for US healthcare clients.
• Contact insurance companies, patients and other parties to resolve unpaid claims.
• Perform regular insurance follow-ups via calls and portals.
• Investigate denials, rejections and payment discrepancies and take corrective action.
• Analyze EOBs/ERAs to identify issues and balances.
• Work on aging AR accounts and prioritize claims by age and payer requirements.
• Identify root causes of denials and coordinate with teams for resolution.
• Submit corrected claims, reconsiderations and required documentation within payer timelines.
• Maintain documentation of follow-ups, claim status, and payer responses.
• Meet daily/weekly/monthly productivity and quality targets.
• Handle complex/high-value accounts and escalated issues appropriately.
• Monitor payer trends and denial patterns and share findings with the team.
• Coordinate with internal teams to ensure timely claim resolution.
• Assist with reports, aging analysis and process improvements.
• Support and guide junior AR callers on processes and complex accounts.

Skills

AR calling

insurance follow-up

denial management

claim resolution

aging reports

communication skills

US healthcare terminology

MS Excel

Education

Bachelor's degree

RCM qualification (advantage)

Job description

Role & responsibilities

• Manage and follow up on outstanding accounts receivable (AR) for US healthcare clients.
• Contact insurance companies, patients, and other relevant parties to resolve unpaid and outstanding claims.
• Perform regular insurance follow-ups through calls, portals, and other approved communication channels.
• Investigate claim denials, rejections, underpayments, and payment discrepancies and take appropriate corrective action.
• Analyze EOBs/ERAs to identify payment issues, contractual adjustments, and outstanding balances.
• Work on aging AR accounts and prioritize claims based on age, value, and payer-specific requirements.
• Identify the root cause of claim denials and coordinate with coding, billing, and other teams for resolution.
• Submit corrected claims, reconsiderations, appeals, and required documentation within payer timelines.
• Maintain accurate and timely documentation of all follow-up activities, claim status, and payer responses.
• Meet assigned daily/weekly/monthly productivity and quality targets.
• Handle complex and high-value accounts and escalated unresolved issues appropriately.
• Monitor payer trends and recurring denial patterns and communicate findings to the team.
• Coordinate with team members and internal departments to ensure timely claim resolution.
• Assist Team Leads/Managers with reports, aging analysis, and process-related activities.
• Support and guide junior AR callers on process-related queries and complex accounts.
• Ensure compliance with client requirements, company policies, and US healthcare billing/AR processes.
• Maintain confidentiality of patient and client information in accordance with applicable privacy and security requirements.
• Participate in process improvement initiatives to reduce AR days and improve collections.

Preferred candidate profile

• Bachelors degree in any discipline; relevant healthcare/RCM qualifications are an advantage.
• 2–5 years of experience in US Healthcare RCM, preferably in Accounts Receivable (AR).
• Strong experience in AR calling, insurance follow-up, denial management, and claim resolution.
• Good understanding of the US healthcare revenue cycle, medical billing, claims, EOBs/ERAs, and payer processes.
• Hands-on experience working with aging reports and outstanding claims.
• Strong verbal and written communication skills with good telephone etiquette.
• Ability to handle payer calls confidently and negotiate claim/payment-related issues professionally.
• Strong analytical and problem-solving skills.
• Ability to manage high-volume work while meeting productivity and quality targets.
• Good knowledge of US healthcare insurance terminology and payer guidelines.
• Ability to identify denial trends and take appropriate corrective action.
• Good working knowledge of MS Excel and RCM/medical billing software.
• Ability to work independently as well as coordinate effectively with internal teams.
• Willingness to work in US shifts/night shifts, based on business requirements.