EClinicalWorks
Mohammed Umar
AR CALLER
MYS
Summary
Dynamic Senior AR Caller with expertise in accounts receivable management at TOTAL RCM SOLUTIONS. Proven track record in denial resolution and training, enhancing team performance. Skilled in navigating complex claims and appeals, while demonstrating strong problem-solving abilities. Committed to compliance and accuracy, consistently achieving productivity targets in a fast-paced environment.
Overview
5
5
years of professional experience
4
4
Languages
Work History
Senior AR Caller (SME)
TOTAL RCM SOLUTIONS
12.2024 - 07.2025
- Acted as Subject Matter Expert in AR follow-up for U.S. healthcare clients.
- Supported a team of AR Callers by providing guidance on denial management, payer-specific guidelines, and complex claim resolution.
- Conducted quality checks on call audits, claim follow-ups, and documentation to ensure compliance and accuracy.
- Trained and mentored new joiners and junior team members on AR processes.
- Resolved escalated or complex claims involving underpayments, timely filing issues, and appeals
- Participated in client calls for feedback, updates, and process improvement discussions.
AR Caller
CORONIS AJUBA SOLUTIONS
04.2022 - 09.2024
- Handled end-to-end AR follow-up on insurance claims for U.S.-based healthcare providers.
- Regularly contacted insurance companies (Medicare, Medicaid, and commercial payers) to check claim status and resolve pending issues.
- Analyzed claim denials and took corrective action, including claim reprocessing, appeals, and submission of additional documents.
- Coordinated with internal teams (coding, charge entry, payment posting) for claim corrections and appeals.
- Documented call outcomes, actions taken, and next follow-up dates in billing systems like Artiva / eClinicalWorks / Brightree
- Trained and guided new joiners in AR processes
AR Caller
DECIPHER HEALTH RECORDS
11.2020 - 04.2022
- Made outbound calls to U.S.-based insurance companies to follow up on medical claims.
- Analyzed and resolved denied or delayed insurance claims based on payer policies.
- Verified claim status, payment details, and denial reasons via insurance portals or phone.
- Updated claim status and actions taken in billing software accurately and promptly.
- Maintained daily/weekly call logs and achieved assigned productivity targets.
- Adhered to HIPAA guidelines and internal compliance procedures during calls.
Education
B.com -
Mysore University
Mysore 04.2001 -
PUC -
Farooqia Pre University
Mysore 04.2001 -
SSLC -
SUNANDA HIGH SCHOOL
Mysore 04.2001 -
Skills
Accounts receivable management
Denial resolution
Software navigation
Problem-solving
Insurance Calling (Voice Process)
Appeals & Reprocessing
EOB (Explanation of Benefits) Analysis
Software
Artiva
Brightree
Interests
Traveling
Reading religious books
I enjoy surfing the internet to stay updated with the latest trends, cultures, and news
Timeline
Senior AR Caller (SME)
TOTAL RCM SOLUTIONS
12.2024 - 07.2025
AR Caller
CORONIS AJUBA SOLUTIONS
04.2022 - 09.2024
AR Caller
DECIPHER HEALTH RECORDS
11.2020 - 04.2022
B.com -
Mysore University
04.2001 -
PUC -
Farooqia Pre University
04.2001 -
SSLC -
SUNANDA HIGH SCHOOL
04.2001 -