Accounts Receivable Caller

Golden Opportunities

2 - 5 years

4 - 6 Lacs

chennai

Posted:12 hours ago| Platform:

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Skills Required

ar calling denial management claim resolution appeals us healthcare voice process swing bed billing medical billing hospital billing critical access hospitals hipaa eob analysis erisa inpatient/outpatient billing rural health billing rcm aged ar management

Work Mode

Work from Office

Job Type

Full Time

Job Description

experienced AR Callers / Senior AR Analysts

Role & responsibilities

Conduct detailed
pre-call analysis
to identify reasons for unpaid and underpaid hospital claims.
Contact insurance payers via
phone, IVR, and payer portals
to obtain claim status, resolve issues, or escalate as needed.
Handle
complex denials
, aged AR, and specialty accounts by identifying trends and recommending corrective actions.
Accurately document all payer interactions and claim updates in client software, ensuring compliance.
Review and analyze
EOBs, medical records, authorizations
, and payer correspondence for accurate resolution.
Prepare and submit
appeals
for denied or underpaid hospital claims within payer-specific timelines.
Monitor aged, high-dollar, swing bed, rural health, and critical access hospital claims to closure.
Collaborate with team members to improve workflow accuracy and reduce denial rates.
Assist with audits and ensure full compliance with
HIPAA, ERISA
, and payer standards.

Mentor and guide junior analysts, share best practices, and support team productivity

Preferred candidate profile

US Hospital Billing

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