AR Caller

Job Type: Full time

Location: Tamil Nadu, India

Job Responsibilities

• Investigate claim rejections or denials, identify root causes, and take corrective actions to resolve issues and resubmit claims.
• Track outstanding accounts and work to reduce aging AR through timely follow-ups
• Should met the standard quality of above 98 % and quantity of 100%
• Report to team leaders about inventories.
• Ensure adherence to healthcare regulations, payer policies, and internal guidelines to maintain the accuracy and integrity of the billing process.

Daily Routine

• Planning the day Prioritizing the tasks
• Active participation in Daily Huddles
• Handling tickets
• Need to take action for Sec Rejections/Denials
• AR Activity (Follow-up, Attention Required, No Resp, etc,.)
• Need to send EOD status to Team leader
• Need to initiate the call to the payers and obtain the required information.

Weekly Routine

• Preparing AR clarifications
• Secondary claims review Submission
• Weekly meeting with Team leader/Manager
• Weekly denials trend analysis

Monthly Routine

• Updating company scorecards
• Small Balance Adjustment
• AR Clarification/UC claims list preparation
• Redzone clients status update.

Skills and Competencies

• Basic technical skills in computer (Word Excel)
• Good written and verbal communication skills
• Ability to explain billing issues to the supervisors clearly and professionally.
• Competency in identifying issues with claim payments or denials and finding solutions.
• Ability to track outstanding receivables and prioritize collections based on aging.

Qualifications

• Any Degree and above.
• 2+ years experience End-to-end process in RCM.
• Knowledge in our Major PMS (IMS/eCW
• Typing Skills (30 WPM with >95% Accuracy)

Key Performance Indicators

• Quality % -> >=98%
• Quantity % (Productivity) - 100%