Sr. AR Caller

Pena4 Tech Solutions; Hyderabad; On-site; INR 600,000 - 900,000; Full time

Job summary

Pena4 Tech Solutions is seeking a Senior AR Caller to manage complex US Healthcare AR follow-ups from Hyderabad, India. The role demands handling high-dollar accounts, accurate documentation, and adherence to HIPAA and client SOPs.

You will mentor junior AR Callers, back up Team Lead during peak times, and help maintain productivity and quality metrics consistent with industry standards.

Qualifications

• Experience: 3–5 years in US Healthcare AR follow-ups.
• Strong experience in payer calling, denials, and appeals.

Responsibilities

• Perform outbound calls to insurance companies to resolve outstanding AR.
• Work on complex, aged, and high-dollar accounts.
• Handle denials, appeals, underpayments, and reprocessing requests.
• Ensure timely follow-up and accurate documentation of account actions.
• Analyze denial reasons and take corrective actions.
• Prepare and submit appeals with required documentation.
• Identify recurring denial trends and escalate to Team Lead.
• Ensure compliance with payer guidelines, HIPAA, and client SOPs.
• Maintain high accuracy in documentation and account resolution.
• Support audit requirements and corrective actions.
• Support training and knowledge-sharing with AR Callers.
• Assist Team Lead with process clarification and issue resolution.
• Act as a backup for Team Lead during peak workload periods.
• Meet or exceed productivity and quality targets.
• Maintain accurate trackers and follow-up logs.
• Communicate risks or delays proactively to Team Lead.

Skills

Payer calling

Denials & appeals

US Healthcare AR

Communication

Documentation

Education

Graduate preferred

Healthcare certifications preferred

Tools

Billing systems

EMR/EHR

Job description

Job Summary

Role Overview: The Senior AR Caller is responsible for handling complex AR accounts, high-dollar balances, and difficult payer follow-ups while consistently meeting productivity and quality targets. This role serves as a subject matter resource for junior AR Callers and supports Team Leads in maintaining operational efficiency. The Senior AR Caller is expected to demonstrate strong payer knowledge, problem-solving skills, and a high level of ownership.

Responsibilities

• Perform outbound calls to insurance companies to resolve outstanding AR
• Work on complex, aged, and high-dollar accounts
• Handle denials, appeals, underpayments, and reprocessing requests
• Ensure timely follow-up and accurate documentation of account actions
• Analyze denial reasons and take appropriate corrective actions
• Prepare and submit appeals with required documentation
• Identify recurring denial trends and escalation to Team Lead
• Ensure compliance with payer guidelines, HIPAA, and client SOPs
• Maintain high accuracy in documentation and account resolution
• Support audit requirements and corrective actions
• Support training and knowledge-sharing with AR Callers
• Assist Team Lead with process clarification and issue resolution
• Act as a backup for Team Lead during peak workload periods
• Meet or exceed defined productivity and quality targets
• Maintain accurate trackers and follow-up logs
• Communicate risks or delays proactively to Team Lead

Requirements

• Experience: Minimum 3-5 years of experience in US Healthcare AR follow-ups
• Strong experience in payer calling, denials, and appeals

Qualifications

• Education: Graduate preferred
• Credentials / Certifications: Healthcare or RCM-related certifications preferred

Skills

• Strong knowledge of US insurance payers and AR workflows
• Excellent communication and negotiation skills
• Strong analytical and problem-solving abilities
• Good time management and multitasking skills
• Proficiency in basic computer applications and billing systems

Disclaimer: This job posting has been aggregated from external source. Role details, content, and availability are subject to change. Applicants are advised to confirm the latest information directly on the company website before applying.