AR Caller, Authorization, Benefit Verification

0 - 3 years

1 - 3 Lacs

Posted:2 weeks ago| Platform: Naukri logo

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Work Mode

Work from Office

Job Type

Full Time

Job Description

AR Caller:-

Role & responsibilities

  • Responsible for AR follow-up, AR calling and denial management.
  • Review provider claims that have not been paid by insurance companies.
  • Ensure that the quality and production meet Industry Standards.
  • Should have basic knowledge of the entire Revenue Cycle Management (RCM) and U.S. Healthcare Insurance (Provider side).
  • Constantly keep track of both electronic and paper claims.
  • Communicate with healthcare providers, insurance companies to gather the necessary information.
  • Resolve issues, appeals and discrepancies in a timely manner.

Authorization:-

Role & responsibilities

  • Benefit Verification.
  • Obtain Prior Authorization from Insurance on behalf of providers for medical surgeries.
  • Communicate with healthcare providers, insurance companies to gather the necessary information for Authorization.
  • Review patient records and billing information to identify prior authorization requirements.
  • Update patient records and billing systems with prior authorization information.
  • Track the status of Authorization requests and follow up with insurance companies on pending approvals or denials.
  • Resolve Authorization issues, appeals and discrepancies in a timely manner.
  • Meet productivity and quality standards.
  • Stay up-to-date with insurance policies, procedures, and regulations.

Preferred candidate profile

  • Excellent English Communication
  • Willing to work on Night Shift
  • Good Typing speed and basic excel knowledge

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