AR Caller US Healthcare

3 - 6 years

1 Lacs

Posted:1 week ago| Platform: Foundit logo

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Work Mode

On-site

Job Type

Full Time

Job Description

Roles & Responsibilities:

  • Perform

    eligibility and benefits verification

    for procedures, treatments, and hospitalizations.
  • Review and prepare claims

    for accuracy, compliance, and completeness before submission.
  • Transmit claims using billing software, including

    electronic and paper claim processing

    .
  • Follow up

    on unpaid or underpaid claims within standard billing timelines.
  • Contact insurance companies for payment discrepancies and clarification if needed.
  • Identify and bill

    secondary and tertiary insurances

    as applicable.
  • Research and appeal denied or rejected claims

    to ensure maximum reimbursement.
  • Update

    cash posting spreadsheets

    and generate

    collection reports

    .
  • Monitor accounts for

    insurance follow-up

    and work on aging reports.
  • Ensure compliance with

    HIPAA

    and internal data confidentiality standards.

Required Skills:

  • Minimum

    3 years

    of hands-on experience in

    Medical Billing / AR Calling / RCM

    .
  • Strong knowledge of

    insurance types

    (Medicare, Medicaid, HMO, PPO, etc.).
  • Familiarity with

    CPT, ICD-10

    codes and standard billing practices.
  • Experience handling

    claim denials, appeals, and collections

    .
  • Proficiency with

    medical billing software and practice management systems

    .
  • Understanding of

    HIPAA

    regulations and patient confidentiality procedures.
  • Strong

    problem-solving, multitasking, and communication

    skills.
  • Ability to work independently and manage time efficiently.

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