AR Caller – Denial Management

About the Role

We are seeking a detail-oriented Medical AR Specialist to manage insurance follow-ups, resolve claim denials, and ensure timely reimbursement. The ideal candidate will have hands-on experience in medical accounts receivable and a strong understanding of payer processes and denial management.

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🛠️ Key Responsibilities

• Perform insurance follow-ups on unpaid, underpaid, or denied claims
• Analyze Explanation of Benefits (EOBs) and Electronic Remittance Advice (ERAs)
• Identify denial reasons and take corrective actions (CO, PR, OA codes)
• Submit corrected claims, appeals, and reconsiderations as required
• Maintain accurate documentation of follow-ups and payer communications
• Collaborate with billing, coding, and quality teams to reduce denials
• Meet daily productivity, accuracy, and turnaround time targets
• Stay updated on payer guidelines and billing regulations

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🎯 Required Skills & Qualifications

• 1–3+ years of experience in Medical AR / Denial Management
• Strong knowledge of CPT, ICD-10, HCPCS, CMS-1500 & UB-04
• Experience working with commercial, Medicare & Medicaid payers
• Proficient in insurance portals and RCM systems
• Excellent verbal and written communication skills
• Strong analytical and problem-solving abilities

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⭐ Preferred Qualifications

• Experience handling multiple medical specialties
• Knowledge of payer-specific policies and appeal processes
• Ability to interpret clinical documentation
• Prior experience in a US healthcare revenue cycle environment

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💼 Why Join Us?

• Stable and growing healthcare organization
• Career growth opportunities in RCM
• Supportive team culture
• Competitive compensation and performance incentives