AR caller - PB - Denials

Dear Candidates,

Greetings from AGS Health!

Job Title: Process Associate - AR Caller

Process: AR caller - Physician billing

Job Summary:

• Ensure quality driven follow-up activities and resolution of accounts is carried out with the insurance carriers on the outstanding inventory to yield maximum cash flow and minimum bad debts.
• Interact by phone and check Internet based portals of the insurance companies in US to procure status of the claim followed by appropriate activities to address open AR.
• The key functions of an AR Executive are to ensure the below responsibilities are carried out to the best of his/her ability in the interest of the organization and client.

Key Responsibilities:

• To address outstanding or assigned AR through phone call and analysis using available resources.
• Utilization of all possible tools and applications available to take account to the next level of resolution, which would result in a payment, corrected submission, appeals, patient transfer or adjustment.
• To report trends / patterns in denials, claim submission errors, credentialing issues and billing related roadblocks to the immediate reporting manager.
• To meet the established SLAs (service level agreements) for production and quality.
• To update the outcome of the calls or analysis in a clear and coherent manner in the billing system.
• To utilize the and stay updated with changes done with the P & Ps
• To improve the performance based on the feedback provided by the reporting manager / quality audit team.

Qualifications: Education:

• Graduation mandatory

Experience:

• Min.1 year to 3 years of provider side AR calling experience in PB.

Skills:

• Good verbal and written communication skills
• Domain knowledge on various billing terminologies & processes
• Attention to detail
• Logical thinking

Age Criteria: up to 35 years

Benefits:

• Competitive remuneration + annual performance-based bonus
• Monthly performance-based incentives
• Health Insurance

Interview Process:

• HR Interview round
• Assessment based on the scope
• Operations panel round

Interested candidates can WhatsApp their updated resume to [phone removed]

Thanks & Regards,

Varsha - HR

[phone removed]