Senior Executive – AR specialty

• 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

Responsibilities

• 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