AR Caller (Medical Billing)

We are seeking a highly skilled and detail-oriented individual to join our team as a Medical Billing Specialist with solid AR calling experience. As a Medical Billing Specialist, you will play a crucial role in ensuring the accuracy and efficiency of our billing operations while maintaining compliance with regulatory requirements. Role & responsibilities Demographics Verification: Verify and update patient demographic information in the billing system with 100% accuracy of patient demographic data such as name, address, insurance information, and contact details. Resolve discrepancies or missing information in patient demographics to prevent claim denials or delays. Charge Entry: Enter charges into the billing system based on the services provided to patients. Verify the accuracy of charges entered, including the correct procedure codes, modifiers, and unit counts. Ensuring compliance with coding guidelines and payer requirements during charge entry. Claim Submission: Prepare and submit electronic or paper claims to insurance companies, ensuring compliance with billing regulations and payer requirements. Claims Management: Monitor outstanding claims, aging reports, and accounts receivable to ensure prompt resolution of unpaid or underpaid claims. AR Follow up with insurance companies and patients to address outstanding balances. Resubmit corrected claims when necessary. Insurance Verification: Verify patient insurance coverage, eligibility, and benefits prior to claim submission. Obtain pre-authorizations or referrals as necessary. Payment Posting: Post insurance and patient payments accurately into the billing system. Reconcile payments with billed amounts and resolve any discrepancies. Denial Management: Review and resolve rejected or denied claims. Identify reasons for denials, correct errors, and resubmit claims for reimbursement. Provide coaching and feedback to junior team members to ensure performance levels are met. Preferred candidate profile Minimum of 3-5 years of experience in medical billing with AR calling expertise. Proficiency in medical billing software and electronic health record (EHR) systems. Excellent communication skills, both verbal and written, with the ability to interact professionally with patients, insurance companies, and healthcare providers. Commitment to maintaining confidentiality and compliance with regulatory standards, including HIPAA. Male candidates are preferred.