We are looking for an experienced AR Caller specializing in Denial Management to join our Revenue Cycle Management team. The candidate will be responsible for handling denied claims, analyzing denial reasons, and ensuring timely resolution to maximize revenue recovery.
Roles & Responsibilities:
Review and analyze insurance claim denials from payers.
Work on denial categories such as coding denials, medical necessity, authorization, eligibility, and timely filing.
Follow up with insurance companies via calls or payer portals to resolve denied or underpaid claims.
Prepare and submit appeals with supporting documentation.
Maintain accurate documentation of claim status and follow-up actions.
Identify root causes of denials and suggest corrective actions.
Meet daily productivity and quality targets.
Required Skills:
Minimum 1 year experience in AR Calling – Denial Management
Good knowledge of US healthcare and RCM process
Familiarity with Medicare, Medicaid, and commercial payers
Strong communication and analytical skills
Experience in working with billing software and payer portals
Preferred Qualification:
Any graduate
Experience in healthcare BPO / medical billing preferred