AR Caller (Denial Management)

You should have proven experience in accounts receivable (AR) calling, ideally within the healthcare sector, for 1 to 3 years. It is essential to possess a strong understanding of denial management processes and the ability to investigate and resolve claim issues efficiently. Your communication skills, both verbal and written, should be excellent to interact effectively with insurance companies and internal teams. As a detail-oriented individual, you must have a strong aptitude for data analysis and problem-solving to accurately identify claim discrepancies. The role requires you to work both independently and collaboratively within a team to ensure timely resolutions of outstanding AR balances. Proficiency in using billing software and Microsoft Office applications for documentation and reporting purposes is necessary. Excellent time management skills are a must to prioritize tasks and manage workload efficiently against deadlines. Your responsibilities will include reviewing and analyzing denied claims to determine reasons for denial, collaborating with internal teams to gather necessary documentation for claim resolution, and maintaining detailed records of claim decisions and communications with insurance entities. Monitoring outstanding claims and systematically following up to ensure timely and efficient denial resolution are crucial aspects of the role. You will be expected to identify trends and provide feedback to management on recurring denial issues to prevent future occurrences. Additionally, assisting in creating and implementing process improvements to enhance the efficiency of AR collections and denial management will be part of your duties. Preparing reports on the status of denials and resolutions to inform management of progress and areas needing attention will also be a key responsibility.,