Senior Executive / Executive

Job Summary:

We are looking for an AR Caller to handle accounts receivable follow-up for US healthcare providers. The role involves contacting US insurance companies regarding unpaid, pending, denied, and underpaid medical claims to ensure timely reimbursement and improve collections.

Roles and Responsibilities

• Make outbound calls to US insurance companies to follow up on outstanding medical claims.
• Check claim status, payment status, and denial reasons.
• Work on AR aging buckets, including 30, 60, 90, and 120+ days.
• Investigate rejected, denied, and underpaid claims.
• Review EOBs (Explanation of Benefits) and ERAs (Electronic Remittance Advice).
• Identify issues related to eligibility, authorization, coding, modifiers, and timely filing.
• Coordinate claim corrections, resubmissions, and appeals as per payer guidelines.
• Follow up on claims pending beyond the expected processing time.
• Maintain accurate call notes, payer reference numbers, and follow-up dates.
• Meet daily productivity, quality, and collection targets.
• Follow HIPAA guidelines and company policies.

Interested candidates can share their cv :

[phone removed] - HR Prerna

[phone removed] - HR Yashovardhan