AR caller & Prior Authorisation

Epiq India Support Services

1 - 3 years

0 - 3 Lacs

chennai bengaluru

Posted:2 days ago| Platform:

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Skills Required

voice process denial management eligibility verification insurance authorisation physician billing medical billing

Work Mode

Work from Office

Job Type

Full Time

Job Description

Role Overview:

AR Caller (Denial Management Voice Process)

Key Responsibilities:

Review denied and unpaid claims from insurance companies.
Call insurance companies (Voice Process) to get claim status and understand the reason for denial.
Work on claim reprocessing, appeals, and escalation when required.
Document all call details and claim actions accurately in the billing system.
Collaborate with the coding and billing team to resolve recurring denial issues.
Meet productivity and quality targets as per SLA.

Required Skills & Qualifications:

Experience:
6 months – 1 years of AR Calling / Denial Management experience (Healthcare RCM).
Knowledge:
Familiar with EOBs (Explanation of Benefits), denial codes, and US healthcare claims process.
Excellent verbal communication skills (neutral accent preferred).
Strong problem-solving and analytical abilities.
Willingness to work in US shifts (Night Shift / Rotational).

Preferred Qualifications:

Experience with US healthcare RCM tools (Epic, Athena, Meditech, etc.).
Knowledge of HIPAA compliance.
Familiarity with insurance payers (Medicare, Medicaid, Commercial).

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