Company Overview
Total RCM Solutions, LLC, a leader in revenue cycle management services since 2018, collaborates with healthcare providers across the United States. Equipped with over a century of combined industry expertise, we offer end-to-end RCM, appeal management, and patient service solutions. Located in Bangalore, we ensure seamless operations for our clients by providing comprehensive back-office support and innovative workflow processes.
Job Summary:
We are seeking an experienced AR Caller to join our growing medical billing team. The ideal candidate will have 2 to 4 years of hands-on experience in Accounts Receivable follow-up for US healthcare providers, with proficiency in ECW (eClinicalWorks) and Tebra/Kareo software. The AR Caller will be responsible for identifying unpaid or incorrectly paid claims, following up with insurance companies, resolving denials, and ensuring timely collections.
Key Responsibilities:
- Review and analyze aging reports to follow up on outstanding claims.
- Call insurance companies (Payers) to check the status of claims and initiate appropriate action.
- Understand and interpret EOBs, denials, and payer correspondence.
- Handle denials, rejections, and appeals promptly and effectively.
- Document all activities performed on patient accounts clearly and accurately.
- Utilize ECW and Tebra/Kareo for claims management, documentation, and payment posting.
- Maintain productivity and quality targets as per organizational standards.
- Work collaboratively with internal teams to resolve complex billing issues.
- Escalate unresolved claims and denials to the appropriate team or supervisor.
- Stay updated with payer policies, industry regulations, and compliance requirements.
Required Skills & Qualifications:
- 24 years of experience in AR calling within the US healthcare domain.
- Strong knowledge of medical billing processes, RCM workflow, and insurance guidelines.
- Proficiency in eClinicalWorks (ECW) and Tebra/Kareo billing platforms is mandatory.
- Experience handling claims for Medicare, Medicaid, and commercial insurances.
- Excellent communication and negotiation skills in English (verbal and written).
- Ability to work independently in a fast-paced environment.
- Detail-oriented with strong analytical and problem-solving skills.
- Familiarity with HIPAA regulations and compliance standards.
Preferred:
- Experience in handling multi-specialty billing (optional).
- Knowledge of CPT, ICD-10, and HCPCS codes.
- Comfortable working in night shifts (if applicable).
