Job Title: AR Caller - Physician Billing & Hospital Billing (US Healthcare)
Location: Hyderabad
Experience: 1-4 Years
Shift: Night Shift (US Timings)
Process: US Healthcare Revenue Cycle Management (RCM)
Job Summary
Sagility is seeking experienced AR Callers with strong communication skills and hands‑on experience in Physician Billing (PB) and/or Hospital Billing (HB) within the US Healthcare domain. The ideal candidate should possess a thorough understanding of the Revenue Cycle Management (RCM) process, including insurance follow‑up, denial management, claims resolution, and payment posting.
Key Responsibilities
- Follow up with insurance companies on unpaid, underpaid, and denied claims.
- Analyze and resolve claim denials, rejections, and payment variances.
- Review and interpret Explanation of Benefits (EOBs), Electronic Remittance Advice (ERAs), and insurance remittances.
- Contact insurance payers to obtain claim status and ensure timely reimbursement.
- Work on aging reports and prioritize claims based on denial trends and aging buckets.
- Research and resolve claim discrepancies by coordinating with internal teams and insurance representatives.
- Document all activities, claim updates, and payer communications accurately in the billing system.
- Meet productivity and quality metrics defined by the process.
- Ensure compliance with HIPAA regulations and organizational policies.
Required Skills
- Hands‑on experience in US Healthcare AR Calling.
- Strong knowledge of Revenue Cycle Management (RCM).
- Expertise in handling insurance claims, denials, appeals, and payment follow‑up.
- Ability to understand and interpret EOBs, ERAs, and payer guidelines.
- Good understanding of Physician Billing and/or Hospital Billing processes.
- Strong verbal and written communication skills.
- Ability to work effectively in a fast‑paced environment and night shifts.
Eligibility Criteria
- Experience: 1-4 years in US Healthcare.
- Experience in AR Calling is mandatory.
- Exposure to Physician Billing (PB) and/or Hospital Billing (HB) processes.
- Candidates with B1-level communication skills are preferred.
- Good analytical and problem‑solving skills.
Preferred Qualifications
- Experience in denial management and appeals processing.
- Knowledge of CPT, ICD-10, and HCPCS coding concepts.
- Familiarity with major US insurance payers and reimbursement methodologies.
- Strong attention to detail and customer‑focused approach.
- Ability to work independently and within a team environment.
Why Join Us
- Opportunity to work in a fast‑growing US Healthcare environment.
- Exposure to end‑to‑end Revenue Cycle Management (RCM) processes.
- Structured learning and career growth opportunities.
- Dynamic and collaborative work culture.
- Competitive compensation and employee benefits.
Walk-In Details
Walk-In Timings: 11:00 AM to 4:00 PM
Documents Required
- Updated Resume
- Government ID Proof
HR Contact
Yash Joshi
8639608083 (WhatsApp)
Yash.Joshi@SagilityHealth.com