Experienced AR Callers

Role & responsibilities

• Follow up with US insurance companies to resolve outstanding medical claims and collect payments.
• Review unpaid, denied, and underpaid claims to identify root causes and take appropriate action.
• Contact insurance representatives via phone and payer portals to obtain claim status and payment updates.
• Analyze Explanation of Benefits (EOBs) and Electronic Remittance Advice (ERA) to identify payment discrepancies.
• Initiate appeals, corrected claims, and reconsideration requests as required.
• Ensure accurate documentation of call outcomes, claim status, and follow-up actions in the billing system.
• Prioritize accounts based on aging reports and client-specific turnaround time (TAT) requirements.
• Coordinate with internal teams, including Medical Billing, Coding, and Payment Posting, to resolve claim issues.
• Meet daily productivity, quality, and collection targets.
• Maintain compliance with HIPAA regulations, payer guidelines, and client processes.
• Identify trends in denials and recommend process improvements to enhance collections.
• Handle escalations professionally and ensure timely resolution of complex claim issues.

Preferred candidate profile

• 1 to 5 years of experience as an AR Caller in US Healthcare RCM.
• Good understanding of medical billing, insurance claim lifecycle, and denial management.
• Willing to work in US Shifts.
• Candidates who can join with us immediately are recommended.

Perks & Benefits

• Two way cab will be provided at free of cost.
• Week - end will be fixed off.
• Medical Insurance

Contact

NAVIN [phone removed] (Whatsapp only)

HR