Senior AR Caller (Home Health Specialty)

Designation: Senior AR Caller (Home Health)
Department: Revenue Cycle Accounts Receivable
Reporting To: Team Lead – Accounts Receivable
Location: Pune, Work from Office
Job Type: Full Time, Permanent
Shift: US Shift / India Night Shift

Role Overview:A Senior AR Caller is responsible for handling handle US healthcare providers’ Accounts Receivable.

Specialty : Home Health

Job Responsibilities:

• Review the claim allocated and check status by calling the payer or through IVR /Web Portal
• Responsible for calling insurance companies in the US and following-up on outstanding accounts receivable
• Ask relevant questions depending on the issue with the claim and record the responses
• Prepare call notes, initiate or execute the corrective measures by sending necessary documents to Payers
• Record the actions and post the notes on the customer’s revenue cycle platform
• Ensure that the quality and production are met as per expectations  
• Understanding of denials and denial reasons and obtain resolution from carriers  
• Claim submission – Electronic, Paper or Direct Data Entry (DDE)  
• Use appropriate client specific call note standards for documentation
• Helping other team members to ramp-up their production, solve queries (if any)
• Train junior team members on client specific processes when required

Job Requirements:

• Should have a minimum of 4 years of experience in A/R calling for the US healthcare provider market with Home Health Specialty.
• Prior experience of working in a medical billing company and use of medical billing software will be considered an advantage. Client's medical billing software training will be provided.
• Should have strong revenue cycle and denial management knowledge  
• Knowledge of HIPAA, Insurances and their Plans, Worker’s Comp, No-Fault
• Strong oral and written communication skills (English)
• Excellent Calling etiquette
• In-depth knowledge of MS office
• Ability to multi-task

Education & Certification Requirements

• Undergraduate, Graduate and/or Postgraduate degree