Senior Executive – AR specialty

• Job Description: 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