Senior AR Caller (Home Health Specialty)

3Gen Consulting; Pune District; On-site; INR 450,000 - 750,000; Full time

Job summary

3Gen Consulting in Pune, India, invites applications for a Senior AR Caller (Home Health) to handle US healthcare providers' Accounts Receivable from our office.

The role requires 4+ years of AR calling experience, denial management knowledge, and strong English communication; you will follow up with insurers, submit claims, and document calls per client standards.

Qualifications

• Minimum of 4 years of experience in A/R calling for US healthcare with Home Health.
• Experience in medical billing is advantageous; training will be provided.
• Strong knowledge of revenue cycle and denial management.

Responsibilities

• Review allocated claims and check status by calling payer or via IVR/Web Portal.
• Follow up with US insurance companies on outstanding AR.
• Ask relevant questions and record responses.
• Prepare call notes and send documents to payers.
• Post actions on the revenue cycle platform with notes.
• Meet quality and production targets.
• Understand denials and obtain carrier resolutions.
• Submit claims electronically, on paper, or via Direct Data Entry (DDE).
• Use client-specific call note standards for documentation.
• Mentor teammates and ramp-up production.
• Train junior members on client-specific processes when required.

Skills

A/R calling

US healthcare

English communication

MS Office

Multi-tasking

Denial management

Education

Undergraduate/Graduate/Postgraduate degree

Tools

Medical billing software

IVR/Web Portal

Job description

Designation: Senior AR Caller (Home Health)
Department: Revenue Cycle Accounts Receivable
Reporting To: Team Lead - Accounts Receivable
Location: Pune, Work from Office
Job Type: Full Time, Permanent
Shift: US Shift / India Night Shift

Role Overview

A Senior AR Caller is responsible for handling handle US healthcare providers’ Accounts Receivable.

Specialty : Home Health

Job Responsibilities

• Review the claim allocated and check status by calling the payer or through IVR /Web Portal
• Responsible for calling insurance companies in the US and following-up on outstanding accounts receivable
• Ask relevant questions depending on the issue with the claim and record the responses
• Prepare call notes, initiate or execute the corrective measures by sending necessary documents to Payers
• Record the actions and post the notes on the customer’s revenue cycle platform
• Ensure that the quality and production are met as per expectations
• Understanding of denials and denial reasons and obtain resolution from carriers
• Claim submission - Electronic, Paper or Direct Data Entry (DDE)
• Use appropriate client specific call note standards for documentation
• Helping other team members to ramp-up their production, solve queries (if any)
• Train junior team members on client specific processes when required

Job Requirements

• Should have a minimum of 4 years of experience in A/R calling for the US healthcare provider market with Home Health Specialty.
• Prior experience of working in a medical billing company and use of medical billing software will be considered an advantage. Client's medical billing software training will be provided.
• Should have strong revenue cycle and denial management knowledge
• Knowledge of HIPAA, Insurances and their Plans, Worker’s Comp, No-Fault
• Strong oral and written communication skills (English)
• Excellent Calling etiquette
• In-depth knowledge of MS office
• Ability to multi-task

Education & Certification Requirements

• Undergraduate, Graduate and/or Postgraduate degree