01Overview
Job Title: Senior AR Caller / AR Follow-up Executive US Healthcare RCM
Location: Gurugram, Sector 18
Work Mode: Work from Office
Employment Type: Full-Time
About the Role
We are hiring an experienced Senior AR Caller (US Healthcare RCM) with strong hands-on exposure to insurance calling, AR follow-up, and denial management.
This role is ideal for candidates who actively call US insurance payers, work on unpaid and denied claims, and are comfortable handling end-to-end AR processes.
If you have solid experience in US insurance follow-ups, denial resolution, and appeals, this role is for you.
Key Responsibilities
- Perform insurance follow-up calls with US payers for unpaid & denied claims
- Work on denial analysis and resolution, including:
- No Authorization
- Duplicate / Bundled / Inclusive
- COB (Coordination of Advantages)
- Medical Necessity
- Timely Filing
- Non-Covered Services
- Check claim status via payer portals & live calls
- Take corrective actions such as:
- Resubmissions
- Appeals
- Documentation requests
- Coordinate with coding & billing teams to fix claim errors
- Perform eligibility & benefit verification when required
- Post ERA/EOB and update payment details accurately
- Maintain accurate call notes and follow-up documentation in the system
- Ensure compliance with HIPAA and internal quality standards
Required Skills & Experience
- 2+ years of hands-on experience as an AR Caller / AR Follow-up Executive
- Strong insurance calling experience (US Healthcare)
- Practical knowledge of
- AR Follow-up
- Denial Management
- Appeals & Resubmissions
- Experience working with Medicare, Medicaid, and Commercial payers
- Familiar with EOB/ERA posting and claim lifecycle
- Good English communication skills (voice role mandatory)
- Comfortable working in targets-driven AR environment
Good to Have (Not Mandatory)
- Exposure to multiple specialties (Physician / Hospital AR)
- Knowledge of credentialing
- Experience with US healthcare billing software / EMR
Why Join Us
- Stable US Healthcare RCM process
- Opportunity to work on complex denials & payer interactions
- Supportive team environment
- Career growth in AR & Revenue Cycle Management
- Competitive salary + performance incentives .
