Follow up on unpaid claims:
Contact insurance companies and patients to check the status of pending claims and collect outstanding balances.
Resolve denied claims:
Investigate reasons for claim denials, appeal them when appropriate, and correct errors to ensure payment.
Liaise with payers:
Communicate with insurance companies to understand their policies and get information on why claims are held up.
Verify eligibility:
Check with insurance providers to ensure patients have the correct coverage for the services they receive.
Maintain records:
Keep accurate and up-to-date records of all communications and actions taken on claims.
Collaborate internally:
Work with other departments to resolve billing discrepancies and coding issues.

Required skills and qualifications

Strong communication and analytical skills.
Knowledge of medical billing, medical terminology, and insurance guidelines.
Familiarity with medical billing software and claim processing systems is a plus.
Experience with denial management and US healthcare is often required.
Some roles may require a high school diploma, while others may prefer a degree.

How it fits into the revenue cycle

AR calling is a key part ofrevenue cycle management (RCM)
, focusing on the post-submission and payment collection phase.
It acts as an intermediary between the healthcare provider, the insurance company, and the patient to manage accounts receivable efficiently and reduce the time unpaid accounts remain open

More Jobs at Source To Win Consultancy Hiring For Omega Healthcare and Sutherland

AR Caller Physician billing US Healthcare

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1.0 - 4.0 yrs

INR 0 - 0 Lacs

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Source To Win Consultancy Hiring For Omega Healthcare and Sutherland

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AR Caller Physician billing US Healthcare

Source To Win Consultancy Hiring For Omega Healthcare and Sutherland

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Source To Win Consultancy Hiring For Omega Healthcare and Sutherland

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AR Caller Physician billing US Healthcare