1 - 3 years

2 - 3 Lacs

Posted:20 hours ago| Platform: Naukri logo

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Job Type

Full Time

Job Description

Job Summary:

AR Callers

Key Roles and Responsibilities:

  • Perform

    follow-up calls

    with insurance companies (US Healthcare payers) to resolve outstanding claims.
  • Verify claim status

    , payment information, and identify reasons for delays or denials.
  • Analyze and resolve claim denials

    by taking appropriate action or escalating complex issues as required.
  • Work on

    denial management and appeals

    , ensuring timely submission and resolution.
  • Identify

    root causes of denials

    and share feedback for process improvement.
  • Maintain

    accurate documentation

    of all claim activities in the billing system.
  • Communicate effectively with

    insurance representatives

    and internal departments.
  • Achieve

    daily/weekly productivity targets

    and ensure adherence to quality standards.
  • Stay updated on

    payer policies, coding guidelines

    , and industry regulations.

Required Skills & Competencies:

  • Minimum 1

    years of experience

    as an AR Caller in US Healthcare (Medical Billing) domain.
  • Strong understanding of

    RCM process, insurance terminologies, CPT, ICD-10 codes, and EOBs.

  • Excellent

    verbal and written communication skills.

  • Strong

    analytical and problem-solving abilities.

  • Proficiency in using

    medical billing software and MS Office tools.

  • Ability to work

    independently and in a team

    within a fast-paced environment.
  • Flexibility to work

    night shifts (US time zone).


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