Accounts Receivable Caller

Kindly note US Medical Billing experience is Mandatory.

Interested Candidate can share CV to HR - Shubham More on Whatsapp - [phone removed]

Job Title: Associate/ Sr. Associate - Operations (Accounts Receivable team)

Work from Office Location: Pune (Aundh) , Mumbai (Ghansoli) and Nagpur (Gayatri Nagar)

About the Company: We are a product-based software development company based in Portland, Oregon, USA. We have been in business for over 30 years and have 2000 eye care professionals using our software. We were the first company to launch a complete EHR / practice and optical management system in the eye care industry in 1994 for optometrists and ophthalmologists. We have over 300 employees in the company. The company is headquartered in Hillsboro OR with offices in India and Canada. First Insight also provides high quality revenue cycle management solutions to healthcare practices all over the United States. To know more, please visit www.first-insight.com.

Job Description:

• Reduce AR aging of clients and increase their cash flow. Ensure that AR aging always
• meets industry standards.
• Review and analyze unpaid or denied insurance claims. Contact insurance companies to follow up on outstanding claims, determine the reason for non-payment, and resolve any issues leading to delays or denials.
• Constantly keep track of both electronic and paper claims.
• Identify claims that have been denied and prepare necessary documentation for appeals. Resubmit corrected claims with accurate information and supporting documents as required by the insurance company.
• Investigate and resolve discrepancies in billing records, such as incorrect coding, missing information, or duplicate charges. Coordinate with internal departments to ensure accurate billing practices.
• Maintain detailed and organized records of all communication, interactions, and follow-up actions taken with insurance companies, and other relevant parties.
• Analyze reasons for claim denials and work with billing and coding teams to address underlying issues. Implement strategies to minimize future claim denials.
• Verify patient insurance coverage and eligibility, ensuring accurate and up-to-date information is available for claims submission. In case the patient does not have sufficient insurance coverage for the medical procedure or if the patient is in any way not eligible for coverage, transferring the outstanding balance to the patient.
• Monitor aging reports to identify and prioritize accounts that require immediate attention.
• Take proactive measures to expedite payment collection on aging accounts.
• Collaborate with colleagues in billing, coding, and revenue cycle departments to ensure seamless communication and resolution of payment related issues.
• Adhere to HIPAA regulations and industry standards to maintain patient confidentiality and ensure compliant billing practices.

Qualifying Criteria:

• Strong knowledge of medical billing and insurance procedures, including CPT and ICD-10 codes.
• At least 1+ year of experience in AR Calling in an Accounts Receivable process in US
• Healthcare (End to End RCM Process)
• Ability to multi-task
• Good organization skills demonstrating the ability to execute timely follow-ups
• Willingness to be a team player and show initiative where needed
• Ready to work in night shifts
• Excellent oral and written communication skills

Salary: Remuneration will be at par with the best industry standards; will not be a constraint for the right candidate.

Interested Candidate can directly call or whatsapp there CV to Shubham More(H.R) - [phone removed].