1 - 5 years

2 - 5 Lacs

Posted:-1 days ago| Platform: Naukri logo

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Job Type

Full Time

Job Description

Greetings from Hamly Business Solutions!!!

Job Summary

AR Caller

Key Responsibilities

  • Follow up with insurance companies on unpaid or underpaid claims for healthcare services provided, including verifying claim status and escalating issues as necessary.
  • Make calls to insurance providers to check the status of outstanding claims and ensure timely payment or resolution.
  • Communicate effectively with insurance companies, clients, and healthcare providers to resolve billing discrepancies and issues.
  • Review and analyze Explanation of Benefits (EOB) and denial reports, and take necessary actions to resolve discrepancies.
  • Work with the billing and coding teams to ensure correct claims submission and resolve any coding or billing errors.
  • Maintain accurate records of communications and actions taken in response to insurance calls.
  • Submit appeals for denied claims and follow up to ensure successful resolution.
  • Meet departmental goals and targets related to claims follow-up, resolution, and collections.
  • Maintain knowledge of payer-specific requirements and reimbursement policies.
  • Ensure compliance with HIPAA regulations and maintain patient confidentiality at all times.

  • Experience

    :
    • Minimum of 1 years of experience in AR Calling or medical billing, preferably in a healthcare setting.
    • Familiarity with insurance verification, claims follow-up, and denial management processes.
    • Experience working with insurance companies and understanding of various payer policies.

Interested candidate can drop your profile to career@hamlybusinesssolutions.com or Contact 9345459780

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