Hiring AR Caller | US Healthcare | 5+ Years | Chennai | Full-Time

Job Summary:

We are seeking an experienced AR Caller with in-depth knowledge of AthenaOne (Athena Health) software and U.S. medical billing processes expertise in Cardiology. The AR Caller will be responsible for following up on insurance claims, resolving denials, and ensuring timely reimbursement for healthcare providers.

Key Responsibilities:

• Perform insurance follow-up calls (both inbound and outbound) on outstanding claims to ensure timely payment.
• Review and analyze Aging reports (Insurance & Patient AR) within AthenaOne.
• Identify, document, and resolve denials, underpayments, and rejections.
• Update claim status, payment details, and notes accurately in AthenaOne EHR/PM system.
• Escalate unresolved claims or issues to Team Lead / Manager when necessary.
• Coordinate with internal teams for re-submission of corrected claims or appeals.
• Handle primary and secondary insurance claims, EOBs, and posting-related queries.
• Maintain a daily productivity and quality benchmark as per client SLAs.
• Ensure HIPAA compliance and protect patient confidentiality at all times.
• Participate in team meetings and performance reviews to improve process efficiency.
• Minimum 38 years of experience in AR Calling / Denial Management within U.S. healthcare RCM.
• Hands-on experience with AthenaOne (Athena Health) software is mandatory.