Hiring For AR caller (Hospital Billing)

Job Title: AR Caller (Accounts Receivable Executive) Hospital Billing(UB04 Claim Form)

Experience: 1 - 5 Years

Shift: EST Shift

Location: Chennai

Transport: Two-way cab facility provided

Job Description:

We are hiring AR Callers for an International Voice Process. The candidate will be responsible for handling Accounts Receivable functions, including follow-ups with insurance companies, resolving claim-related issues, and managing the complete denial lifecycle.

Key Responsibilities:

• Aged AR Prioritization: Analyze hospital aged trial balance reports to identify and prioritize outstanding institutional claims past 30, 60, or 90+ days.
• Insurance Follow-Up: Execute daily outbound calls to Medicare, Medicaid, Managed Care, and Commercial insurance carriers to resolve outstanding or unpaid claims.
• Portal & Clearinghouse Tracking: Navigate electronic clearinghouses and online insurance portals to verify eligibility, check real-time claim status, and retrieve Remittance Advices (RAs/EOBs)

• UB-04 Form Validation: Review and correct specific institutional fields on the UB-04 (CMS-1450) form, including Type of Bill (FL 04), Revenue Codes (FL 42), HCPCS/CPT codes (FL 44), and Service Units (FL 46).
• Denial Remediation: Identify root causes for complex hospital denials, such as DRG (Diagnosis-Related Group) mismatches, medical necessity failures, missing pre-authorizations, and overlapping/duplicate claims.
• Appeals & Document Management: Draft formal appeal letters and compile necessary medical documentation (operative reports, clinical notes) for submission to insurance payers.
• Corrected Claim Submission: Route corrected claims back through the hospital billing software or clearinghouse after resolving data discrepancies.

• Account Action Logging: Document precise, clear, and actionable notes within the hospitals Electronic Health Record (EHR) system, capturing representative details, call reference numbers, denial codes, and expected payment timelines.
• Trend Analysis: Flag recurring payer rejection trends or systematic billing issues to supervisors to help improve the hospital's Clean Claim Rate (CCR).
• HIPAA Compliance: Maintain strict adherence to HIPAA regulations, data privacy, and hospital compliance guidelines during all voice and electronic interactions.

Required Skills:

• Good communication skills (English)
• Experience in AR calling / medical billing
• Strong understanding of end-to-end denial management
• Knowledge of healthcare revenue cycle management

Preferred Skills:

• Experience with Ub04 Claim Forms

Contact Details:

HR: Rishikumar
Phone:[phone removed]/[email removed]