AR Caller
Work the aging until the money lands. You call payers, you get answers, and you document what actually moves a claim from open to paid.
The role
What this job actually is
Mastery of the RCM metric set is mandatory: net collection rate, gross collection rate, days in AR, AR over 90 days, denial rate, first-pass resolution rate, clean claim rate, cost to collect, charge lag and DNFB. You must be able to read them, explain what moves them, and act on them.
This is the seat where aging turns into cash. You own a worklist of open claims across US payers, call to establish exactly why each one has not paid, and drive it to resolution. The best callers here do not read scripts. They know the payer, they know the denial reason behind the denial reason, and they know which of the five possible next steps actually works. Everything you learn goes back into the notes so the next person is faster than you were.
Ownership
What you will own
Your aging worklist
Own a defined block of open AR by payer and age bucket. Work it in priority order, highest recoverable value first, and finish what you start.
Payer calls that produce answers
Get past the status read-back. Establish claim receipt, adjudication detail, denial or rejection reason, appeal window and the specific action that reopens the claim.
Clean, usable documentation
Every touch is logged with the reason, the action taken and the next step with a date. Notes that another caller can act on without redialing.
Resolution, not just contact
A call that ends without a next step is a wasted call. You either resolve it, refile it, appeal it, or escalate it with evidence.
Trend feedback
When you see the same denial three times, say so. Front-end fixes beat back-end recovery every time.
Your own numbers
Know your touches, your resolution rate and your collected dollars without being asked.
Ramp
Your first 90 days
First 30 days
Learn the payers on your book, the client billing rules, the systems and the note standard. Shadow, then work supervised, then work solo.
By day 60
Carrying a full worklist at standard productivity with resolution quality holding.
By day 90
At or above target on touches, resolution rate and collected dollars, and contributing at least one repeat denial pattern worth fixing upstream.
Requirements
What we look for
- MANDATORY: working command of RCM metrics, net collection rate, days in AR, AR over 90, denial rate, first-pass resolution rate, clean claim rate and cost to collect
- One or more years of US healthcare AR calling or payer follow-up experience
- Clear, confident spoken English, able to hold a productive call with a US payer representative
- Working knowledge of EOBs, ERAs, CARC and RARC denial codes, and the difference between a rejection and a denial
- Willing to work the night shift on-site in Chennai, aligned to US business hours
- Disciplined about documentation, because in AR the note is the work product
Bonus
Strong plus, not required
- Experience in behavioral health, ABA, hospital or FQHC AR
- Exposure to appeals writing and timely filing recovery
- Familiarity with payer portals as well as IVR and voice follow-up
- Practice management system experience: Athena, eCW, AdvancedMD, Kareo, CentralReach or Epic
Accountability
How this role is measured
| Measure | What it means |
|---|---|
| Collected dollars | The number that matters. Cash recovered against your worklist. |
| Resolution rate | Percentage of touched claims that reach a definitive next step or closure. |
| Daily touches | Productivity against standard, measured with quality held constant. |
| First-call effectiveness | Claims resolved without a repeat call on the same issue. |
| Documentation quality | Audited monthly. A note that forces a redial is a defect. |
| Aging movement | AR over 90 days on your book, trending down. |
Why ASP-RCM
Why this seat is different
We are senior-led by design. A senior partner is named on accounts and shows up in the work, which is why clients renew and why this role carries real authority rather than a title. Our AI suite is in production, not in a roadmap deck, and our compliance posture is independently audited: SOC 2 Type II with HITRUST, ISO 27001 and HIPAA.
We pay for certifications and run upskilling cohorts, because coding and revenue cycle are crafts that need investment. You will work across Dallas HQ, six US states and Chennai, India, with colleagues who have run these functions at scale.