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:

• 2–4 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).