Job description
- Perform outbound calls to insurance companies, healthcare providers, and TPAs to follow up on pending or denied claims.
- Handle accounts receivable (AR) activities in the Provider Side Vertical or Payer Collections process.
- Review and analyze outstanding claims, identify issues, and take appropriate action to ensure timely payment.
- Accurately document all call interactions and claim statuses in the system.
- Resolve claim rejections, denials, and payment discrepancies by coordinating with insurance representatives and internal teams.
- Maintain productivity and quality standards as per company and client requirements.
- Provide clear communication and updates on claim progress to management.
- Ensure compliance with HIPAA and organizational policies during all communications.
- Exhibit flexibility and a proactive approach in handling multiple tasks and priorities
1–4 years of experience in US Healthcare AR Calling, Collections, or Patient Calling
Proven experience in Provider-side AR or Payer Collections
Hands-on experience calling US healthcare providers, insurance companies, and TPAs
Strong verbal communication skills with a neutral accent preferred
Experience working in a target-oriented, high-volume calling environment
Good understanding of US healthcare revenue cycle processes
Ability to maintain quality while meeting productivity benchmarks
Strong attention to detail and documentation skills
Familiarity with HIPAA, OIG, and compliance requirements
Ability to work independently and collaboratively within a team
The candidate should have experience in US Healthcare Calling process like AR Caller in Provider Side Vertical or AR Caller in Payer Collections.
• Minimum 1-4 years of Experience in AR caller\collections or Patient calling.
The candidate should be well versed in calling US Healthcare providers, insurance companies/other Third Party Administrators.
The role is completely target oriented on the number of calls made on a daily basis.
• Should have good communication with neutral accent preferred. Follow every aspect of SOP without fail
• Complete received Audits with Quality
• To achieve Quality and production target.
• Follow project related protocols and instructions.
• Update all the logs like productivity, Clarification log, and any other logs applicable on a daily basis.
• Check with Manager /TL in case of clarifications
• All emails from Manager should be answered promptly without fail
• Ensure compliance of entire team for HIPAA, OIG.
• Conduct all job functions and responsibilities in accordance with all company Compliance, Information Security and Regulatory policies, procedures and programs.