Senior AR Caller

Sustainable Medical Billing is seeking a Senior AR Caller in Chennai, India, responsible for managing insurance and patient receivables, ensuring timely reimbursements, and reducing aged accounts. The role requires expertise in medical billing, denial management, and appeals processing. Responsibilities include following up on claims, analyzing denials, coordinating with teams, maintaining compliance, and supporting junior staff. A bachelor's degree and 3-6 years of relevant experience are required.
Job Title
Senior AR Caller (Accounts Receivable)
Department
Revenue Cycle Management (RCM) / Medical Billing
Reports To
AR Team Lead / AR Manager
Job Summary The Senior AR Caller is responsible for managing outstanding insurance and patient receivables, ensuring timely reimbursement, and reducing aging accounts. The role requires advanced knowledge of medical billing, denial management, claim follow-up, appeals processing, and payer-specific guidelines. The Senior AR Caller also supports team performance by providing guidance, training, and process improvement recommendations.


Key ResponsibilitiesAccounts Receivable Management



Follow up on outstanding claims with insurance companies through calls and payer portals.
Analyze unpaid, denied, and underpaid claims and take appropriate corrective actions.
Ensure timely resolution of aged accounts to meet collection targets.
Review and prioritize AR inventory based on aging and financial impact.

Denial Management

Identify root causes of claim denials and payment delays.
Initiate reconsiderations, appeals, and resubmissions as required.
Track denial trends and recommend preventive actions.

Payment Follow-up

Verify claim status, payment details, authorization requirements, and eligibility issues.
Coordinate with billing, coding, and provider teams to resolve claim discrepancies.
Escalate complex accounts requiring management intervention.

Quality & Compliance

Maintain HIPAA compliance and patient confidentiality.
Ensure documentation of all actions taken on accounts.
Adhere to client-specific processes and quality standards.

Team Support & Leadership

Assist in training and mentoring junior AR Callers.
Share payer updates, denial trends, and best practices with the team.
Support new process implementations and workflow improvements.

Required Qualifications

Bachelor's degree or equivalent experience.
3–6+ years of experience in US Healthcare Medical Billing and Accounts Receivable.
Strong knowledge of insurance claim processing and reimbursement methodologies.
Experience working with Commercial, Medicare, Medicaid, and Managed Care payers.
Proficiency in denial management and appeals.

Technical Skills

Medical Billing and Revenue Cycle Management (RCM)
EOB/ERA Analysis
Claim Status Verification
Denial Management
Appeals & Reconsiderations
ICD-10, CPT, and HCPCS awareness
AR Aging Analysis
Healthcare Billing Software / EMR Systems
Microsoft Excel and reporting tools

Key Competencies

Strong communication and negotiation skills
Analytical and problem-solving abilities
Attention to detail
Team collaboration
Time management
Process improvement mindset
Client-focused approach

Performance Metrics (KPIs)

Collection Rate
AR Aging Reduction
Denial Resolution Rate
Accounts Processed per Day
Quality Score
Productivity Targets
Turnaround Time (TAT)

Preferred Experience

Experience in Hospital Billing, Physician Billing, or Specialty Billing.
Exposure to client-facing communication and escalation handling.
Previous mentoring or team-leading experience.

Work Schedule

Night Shift / US Healthcare Shift (as applicable)
Ability to work in a fast-paced production environment.

Pay: ₹40,000.00 - ₹50,000.00 per month
Benefits

Commuter assistance
Flexible schedule
Health insurance
Leave encashment
Life insurance
Provident Fund

Work Location: In person