AR Caller

Pena4 Tech Solutions India Private

632 , Pakistan

Apply Now

Posted 2 days ago 4 views Report Job

The Senior AR Caller plays a critical role in managing complex accounts receivable (AR) cases, focusing on high-dollar balances and challenging payer follow-ups. This position requires consistently meeting productivity and quality standards while serving as a subject matter expert for junior AR Callers. The Senior AR Caller also supports Team Leads in maintaining smooth operational workflows by demonstrating strong payer knowledge, effective problem-solving skills, and a high level of ownership.

Key Responsibilities

AR Follow-Up & Collections:
Conduct outbound calls to insurance companies to resolve outstanding AR issues. Manage complex, aged, and high-dollar accounts with accuracy and efficiency. Address denials, appeals, underpayments, and reprocessing requests promptly. Ensure timely follow-up and maintain precise documentation of all account activities.

Denial Management:
Analyze denial reasons thoroughly and implement appropriate corrective actions. Prepare and submit appeals with all necessary supporting documentation. Identify recurring denial patterns and escalate these trends to the Team Lead for further action.

Quality & Compliance:
Adhere strictly to payer guidelines, HIPAA regulations, and client standard operating procedures (SOPs). Maintain high accuracy in documentation and account resolutions to support audit requirements. Assist in corrective actions as needed to ensure compliance.

Mentoring & Support:
Provide training and share knowledge with junior AR Callers to enhance team capabilities. Assist Team Leads with clarifying processes and resolving issues. Serve as a backup for the Team Lead during periods of high workload to ensure continuity.

Reporting & Productivity:
Consistently meet or exceed established productivity and quality targets. Maintain accurate trackers and follow-up logs to monitor account status. Proactively communicate any risks or delays to the Team Lead to facilitate timely interventions.

Required Qualifications

Experience:
A minimum of 3 to 5 years of experience in US Healthcare AR follow-ups is essential. Strong background in payer calling, managing denials, and handling appeals is required.

Education:
A graduate degree is preferred.

Skills & Knowledge:
In-depth knowledge of US insurance payers and AR workflows is necessary. Excellent communication and negotiation skills are critical to effectively interact with payers. Strong analytical and problem-solving abilities are required to handle complex account issues. Good time management and multitasking skills are essential to manage workload efficiently. Proficiency in basic computer applications and billing systems is expected.

Preferred Qualifications and Benefits
Healthcare or Revenue Cycle Management (RCM)-related certifications are preferred, adding value to the candidate’s expertise and credibility in the role.

This role offers the opportunity to work in a dynamic healthcare revenue cycle environment, contributing significantly to the financial health of the organization while supporting and mentoring a growing team.