AR Caller - Collections Representative (Hospital Billing)

Role Overview Optum is looking for a dedicated and detail-oriented AR Caller – Collections Representative to join its Revenue Cycle Management (RCM) team in Hyderabad. This is a night-shift, work-from-office role suited for professionals with a strong background in US healthcare billing, particularly Hospital Billing and Accounts Receivable follow-up. You will be an integral part of a high-performing team that drives efficient claim resolution and contributes directly to client revenue outcomes. Key Responsibilities In this role, you will manage and resolve outstanding insurance balances by identifying root causes that delay or prevent final claim payments. You will coordinate with insurance payers, patients, and clients to expedite claim closures. A significant part of your work will involve deep analysis of Explanations of Benefits (EOBs) and denial patterns to recommend process improvements that reduce first-pass denial rates and improve overall AR aging. You will be expected to maintain a thorough understanding of the full claim lifecycle and complete all assigned workflow tasks within defined turnaround times and quality benchmarks. Required Qualifications Candidates must hold a graduate degree (10+2+3 pattern) and bring between 2 and 5 years of hands-on experience in AR Calling within the US healthcare domain. Mandatory expertise in Hospital Billing using UB04 claim forms is required, along with working knowledge of Physician Billing. Applicants must demonstrate strong proficiency in Denial Management and possess solid familiarity with major US insurance types including HMO, PPO, Medicare, Medicaid, and Private Payers. Proficiency in MS Office tools — particularly Excel and Outlook — is essential, along with effective communication skills in American English with a neutral accent. Knowledge of HIPAA regulations and privacy compliance standards is also expected. Why Join Us Optum, a part of the UnitedHealth Group, is a globally recognised leader in healthcare services and technology. Joining this team means becoming part of an organisation that is consistently rated as an Employees' Choice company. You will work in a structured, professional environment that values critical thinking, client satisfaction, and continuous process improvement. This is an excellent opportunity for experienced RCM professionals seeking to advance their careers within a reputed healthcare analytics organisation.

Graduate degree (10+2+3) is mandatory 2 to 5 years of experience in AR Calling within the US healthcare domain Mandatory hands-on experience in Hospital Billing using UB04 claim forms Working knowledge of Physician Billing processes Strong expertise in Denial Management within the RCM/AR domain Solid understanding of US medical insurance types: HMO, PPO, Medicare, Medicaid, and Private Payers Proficiency in MS Office applications, especially Excel and Outlook Effective communication skills in American English with a neutral accent Familiarity with HIPAA rules, privacy laws, and access and release of information Accurate and efficient typing and keyboard skills Ability to analyse EOBs and claim-level denials to identify process improvement opportunities Must be open to working night shifts and from the office

Opportunity to work with a globally recognised healthcare services leader Structured career growth within the RCM and US healthcare domain Professional work environment with a focus on quality and client satisfaction Association with a consistently rated Employees' Choice company