AR Caller-Executive

JD for AR Caller’s

• Perform pre-call analysis of accounts receivable (AR) data and understand the reasons for underpayment, days in A/R, top denial reasons, use appropriate codes to be used in documentation of the reasons for denials / underpayments
• Contact insurance companies to follow up on outstanding claims, Identify and resolve issues with unpaid or denied claims
• Review and analyze insurance remittance advice to ensure accurate reimbursement
• Ensure timely payment of claims by appealing denials and correcting any errors
• Review the claim allocated and check status by calling the payer and ask a series of relevant questions depending on the issue with the claim and record the responses or through IVR /Web Portal.
• Prepare call notes, initiate or execute the corrective measures by sending necessary documents to Payers and use appropriate client specific call note standards for documentation
• Record the actions as per payer call and post the notes on the customer’s EMR / EHR application platform.
• Collaborate with internal departments to resolve billing discrepancies and coding issues and ensure timely reimbursement.
• Ensure you are updated on industry trends and changes in insurance regulations
• Adhere to HIPAA regulations and company privacy policies.

Candidate Profile

• Should have worked as an AR Caller for atleast 2 years for provider service
• Knowledge of generating & analyzing aging report
• Good knowledge of revenue cycle and denial management concept
• Knowledge on Denials management and A/R fundamentals will be preferred
• Strong communication skills with a neutral accent
• Knowledge of Healthcare terminology, ICD/CPT codes will be considered a plus
• Willingness to work in night shifts

Job Types: Full-time, Permanent

Pay: ₹8,086.00 - ₹50,000.00 per month

Benefits:

• Food provided
• Health insurance

Education:

• Bachelor's (Preferred)

Experience:

• Technical support: 2 years (Preferred)
• tele sales: 1 year (Preferred)
• total work: 1 year (Preferred)

Language:

• English (Preferred)

Work Location: In person