The Role
Conduct insurance follow-up for U.S. healthcare providers, investigate and resolve denials and underpayments, manage appeals and refiling, and follow up on outstanding accounts receivable. The role requires accurate, timely account resolution while meeting quality and productivity standards, communicating with U.S. insurance companies, and working flexibly on night shifts.
Summary Generated by Built In
Role Summary:
We are hiring AR Callers and Senior AR Callers for US healthcare
RCM. The role focuses on insurance follow-up, denial and
underpayment resolution, and timely claim resolution while
meeting quality and productivity standards.
Key Responsibilities:
- Meet quality and productivity standards.
- Contact insurance companies for further explanation of denials
and underpayments.
- Work with multiple denials and take appropriate action to
guarantee resolution.
- Ensure accurate and timely follow-up where required.
- Work across all AR cycles and AR scenarios.
- Handle appeals, refiling, and denial management.
- Call insurance companies in the USA on behalf of physicians
and follow up on outstanding accounts receivable.
- Resolve billing issues that have resulted in delayed
payment.
Requirements
Required Skills & Competencies:
Skill Area
Expected
Competency
AR
Follow-Up
AR
cycles, scenarios, outstanding AR
Denial
Management
Denials, appeals, refiling
RCM
Knowledge
US
healthcare revenue cycle
Communication
Excellent written
and oral communication
Productivity
Quality and
productivity standards
Shift
Readiness
Flexible to work
night shifts
Desired Profile:
- Minimum 1 year of experience in AR calling is an advantage.
- Understanding of Revenue Cycle Management (RCM) for US
healthcare providers.
- Basic knowledge of denials and immediate action to resolve
them
Preferred Qualifications:
- Experience across appeals, refiling, and denial management.
- High energy, spontaneity, and flexibility for night
shifts
Skills Required
- Minimum 1 year of AR calling experience
- Understanding of U.S. healthcare revenue cycle management
- Basic knowledge of denials and actions needed to resolve them
- Excellent written and oral communication skills
- Ability to meet quality and productivity standards
- Flexibility to work night shifts
- Experience with appeals, refiling, and denial management
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The Company
What We Do
Calpion is an information technology company specializing in application maintenance and testing services.
