AR Hospital Billing

Job Title: AR Caller Hospital Billing
Department: Revenue Cycle Management (RCM) US Healthcare
Location: Hyderabad
Shift: Night Shift (US Shift)
Experience: 15 Years

Job Summary

We are looking for experienced AR Callers with hands-on experience in US Hospital Billing. The ideal candidate should have strong knowledge of Accounts Receivable (AR) processes, denial management, insurance follow-up, and must have worked on the EPIC Practice Management System (PMS).

Key Responsibilities

• Perform timely follow-up on outstanding insurance claims for US hospital billing accounts.
• Contact insurance companies to check claim status, resolve claim issues, and secure appropriate reimbursements.
• Analyze and resolve denials, rejections, underpayments, and unpaid claims.
• Identify root causes of claim denials and take corrective action.
• Work on aging reports and prioritize high-value accounts.
• Document all call outcomes and follow-up activities accurately in the EPIC PMS.
• Ensure compliance with client guidelines and HIPAA regulations.
• Meet daily productivity and quality targets.

Mandatory Requirements

• Minimum 1 year of experience in US Hospital Billing AR Calling.

• Hands-on experience working on EPIC PMS (Mandatory).

• Experience in Inpatient and/or Outpatient Hospital Billing.

• Strong understanding of:

• Denial Management

• Appeals and Reconsiderations

• Insurance Verification

• Claim Status Follow-up

• Payment Posting Concepts

• Knowledge of US insurance payers such as Medicare, Medicaid, BCBS, Aetna, Cigna, UHC, Humana, etc.

• Excellent communication skills with a neutral accent.

• Willingness to work in the US Night Shift.

Preferred Skills

• Ability to handle high volumes of AR accounts.
• Strong analytical and problem-solving skills.
• Good understanding of hospital billing workflows and revenue cycle management.
• Experience working with productivity and quality KPIs.