AR Callers & Pre Authorization

Key Responsibilities:

AR Caller:

• Call insurance companies (Payers) to follow up on unpaid or denied claims
• Review claim status, resolve denials or rejections, and escalate unresolved issues
• Understand insurance guidelines, CPT codes, and denial reason codes
• Document call details and update the system with proper status
• Meet daily call volume and productivity targets

Pre-Authorization Executive:

• Verify patient eligibility and insurance benefits (EVBV)
• Obtain pre-authorizations and prior approvals from insurance companies
• Follow up with insurance and providers to ensure approvals are received in time
• Maintain logs and documentation for audits and compliance
• Coordinate with billing and scheduling teams to ensure timely services

Eligibility Criteria:

• Education: Any graduate (Life Sciences or Healthcare background preferred)
• Experience:
• Minimum 6 months to 3 years in AR Calling or Pre-auth in US Healthcare
• Communication Skills:
• Excellent verbal communication and listening skills
• Neutral accent with clarity and confidence
• Familiarity with US healthcare terminologies and claim cycle

Skills Required:

• Knowledge of payer portals, insurance processes, and billing workflows
• Hands-on experience with EHR/RCM systems (Athena, eClinicalWorks, EPIC, etc.)
• Strong problem-solving skills and attention to detail
• Ability to multitask and manage time efficiently
• Goal-driven, with a focus on collections and approvals turnaround