AR Caller

Candidate should have basic understanding of (mostly these topics being discussed)

Claim form 1500

Physician, Medical RCM Background

Provider side

Coding tools CCI, MCKesson

Specialties - Ex: Cardiology, radiology, gastro, peds, ortho, medicine, emergency medicine, surgery etc.,

Clearing houses like way star, ecommerce etc.,

CPT range & Modifiers

Should be voice based only

DME & Claim adjudication will not come under Physician AR

Domain on overpayment alone will not qualify for L2 screening

Domain on Hospital AR will not qualify for Physician AR but can route the candidate to Hospital AR hiring

AR Calling experience (Accounts Receivable Calling)- RCMS - Hyderabad

Job Role

1. Reviewing and analysing claim form 1500 to ensure accurate billing information.

2. Utilizing coding tools like CCI and McKesson to validate and optimize medical codes.

3. Familiarity with payer websites to verify claim status, eligibility, and coverage details.

4. Expertise in various medical specialties such as cardiology, radiology, gastroenterology, pediatrics, emergency medicine, and surgery.

5. Proficiency in using CPT range and modifiers for precise coding and billing.

6. Working with Clearing House systems like Waystar and other e-commerce platforms for claim submissions.

7. Conducting voice-based communication with payers and medical staff to resolve billing discrepancies and facilitate claims processing.

Desired Candidate Profile:

1 Should be a complete Graduate.

2. Minimum of 2 years of experience in physician revenue cycle management and AR calling.

3. Basic knowledge of claim form 1500 and other healthcare billing forms.

3. Proficiency in medical coding tools such as CCI and McKesson.

5. Familiarity with payer websites and their processes.

6. Expertise in specialties including cardiology, radiology, gastroenterology, pediatrics, orthopedics, emergency medicine, and surgery.

9. Understanding of Clearing House systems like Waystar and e-commerce platforms.

10. Excellent communication skills.

11. Comfortable to Work in Night Shifts.

12. Ready to join immediately or 15Days NP