AR Analyst Cum AR Caller

Key Responsibilities

1. Accounts Receivable (AR) Analysis

• Analyze aging reports to identify unpaid or underpaid claims.
• Categorize and prioritize claims based on age, denial reason, and payer.
• Identify trends in denials or payment delays and escalate unresolved issues appropriately.
• Work closely with team leads and billing teams to streamline claim resolution.

2. Insurance Calling / AR Calling

• Make outbound calls to insurance companies to follow up on outstanding claims.
• Understand and explain denial reasons, rejections, and other claim statuses.
• Document all interactions and outcomes in the billing system accurately.
• Resolve claim reprocessing or appeal requirements by coordinating with internal teams.

3. Denial Management

• Research and resolve claim denials by identifying root causes and recommending solutions.
• Initiate re-submissions, appeals, or corrections as required.
• Collaborate with the coding and billing teams for missing documentation or coding-related issues.

4. Client Communication and Coordination

• Maintain clear and professional communication with clients regarding claim status, trends, and resolutions.
• Participate in client review calls and status update meetings when required.
• Ensure SLAs, turnaround times, and quality metrics are consistently met.

5. Reporting and Documentation

• Update internal trackers, CRMs, or RCM platforms with claim status and follow-up notes.
• Generate daily/weekly reports on call activity, resolution rates, and follow-up status.
• Share feedback with management to improve workflow efficiency and payer interactions.