AR Caller

Total RCM Solutions

Bangalore, Karnataka
Rs. 35,000 per month
Permanent
Full-time

2 months ago

Company OverviewTotal RCM Solutions, LLC, a leader in revenue cycle management services since 2018, collaborates with healthcare providers across the United States. Equipped with over a century of combined industry expertise, we offer end-to-end RCM, appeal management, and patient service solutions. Located in Bangalore, we ensure seamless operations for our clients by providing comprehensive back-office support and innovative workflow processes.Job Summary:We are seeking an experienced AR Caller to join our growing medical billing team. The ideal candidate will have 2 to 4 years of hands-on experience in Accounts Receivable follow-up for US healthcare providers, with proficiency in ECW (eClinicalWorks) and Tebra/Kareo software. The AR Caller will be responsible for identifying unpaid or incorrectly paid claims, following up with insurance companies, resolving denials, and ensuring timely collections.Key Responsibilities:

Review and analyze aging reports to follow up on outstanding claims.
Call insurance companies (Payers) to check the status of claims and initiate appropriate action.
Understand and interpret EOBs, denials, and payer correspondence.
Handle denials, rejections, and appeals promptly and effectively.
Document all activities performed on patient accounts clearly and accurately.
Utilize ECW and Tebra/Kareo for claims management, documentation, and payment posting.
Maintain productivity and quality targets as per organizational standards.
Work collaboratively with internal teams to resolve complex billing issues.
Escalate unresolved claims and denials to the appropriate team or supervisor.
Stay updated with payer policies, industry regulations, and compliance requirements.

Required Skills & Qualifications:

24 years of experience in AR calling within the US healthcare domain.
Strong knowledge of medical billing processes, RCM workflow, and insurance guidelines.
Proficiency in eClinicalWorks (ECW) and Tebra/Kareo billing platforms is mandatory.
Experience handling claims for Medicare, Medicaid, and commercial insurances.
Excellent communication and negotiation skills in English (verbal and written).
Ability to work independently in a fast-paced environment.
Detail-oriented with strong analytical and problem-solving skills.
Familiarity with HIPAA regulations and compliance standards.

Preferred:

Experience in handling multi-specialty billing (optional).
Knowledge of CPT, ICD-10, and HCPCS codes.
Comfortable working in night shifts (if applicable).

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