- 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
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.
Qualifications 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
About UsSkills Required
- 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
- Experience working in a target-oriented, high-volume calling environment
- Strong verbal communication skills; neutral accent preferred
- Good understanding of US healthcare revenue cycle processes
- Ability to maintain quality while meeting productivity benchmarks
- Strong attention to detail and documentation skills; update productivity and clarification logs daily
- Familiarity with HIPAA, OIG, and compliance requirements; ensure team compliance
- Ability to follow SOPs, complete audits with quality, and respond promptly to manager communications
- Ability to work independently and collaboratively within a team
What We Do
Choosing a digital partner is about more than capabilities — it’s about collaboration and character. Unrealistic overhauls and off-the-shelf products ignore what matters most — your unique needs, culture, goals, and your legacy data and technology environments. At EXL, our collaboration is built on ongoing listening and learning to adapt our methodologies. We’re your business evolution partner—tailoring solutions that make the most of data to make better business decisions and drive more intelligence into your increasingly digital operations. Whether your goals are scaling the use of AI and digital, redesign operating models, or driving better and faster decisions, we’re here to partner with you to help you gain—and maintain—competitive advantage with efficient, sustainable models at scale. Our expertise in transformation, data science, and change management helps make your business more efficient and effective, improve customer relationships and enhance revenue growth. Instead of focusing on multi-year, resource- and time-intensive platform designs or migrations, we look deeper at your entire value chain to integrate strategies with impact. We use our specialization in analytics, digital interventions, and operations management—alongside deep industry expertise — to deliver solutions that help you outperform the competition. At EXL, it’s all about outcomes—your outcomes—and delivering success on your terms. Share your goals with us and together, we’ll optimize how you leverage data to drive your business forward. For more information, visit www.exlservice.com.
