AR Caller (US Healthcare)

3 years

0 Lacs

Posted:2 days ago| Platform: Linkedin logo

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Work Mode

On-site

Job Type

Full Time

Job Description

Job Title: Process Associate / Senior Process Associate

Department:

Work Shift:

Location:


About the Role:


Process Associates / Senior Process Associates


Key Responsibilities:


  • Review patient accounts and perform appropriate follow-up actions to resolve outstanding balances in accordance with best practice standards.
  • Analyze receivables due from healthcare insurance companies and initiate necessary follow-up actions for reimbursement.
  • Perform

    voice and non-voice follow-ups

    with insurance payers regarding the status of outstanding claims.
  • Prepare, complete, and submit claim forms in compliance with

    CMS and third-party payer guidelines

    .
  • Manage denial and appeal processes by following established protocols.
  • Contact patients and guarantors regarding outstanding

    self-pay balances

    .
  • Draft and send correspondence to insurance payers, third parties, and patients related to claim resolution and appeals.
  • Document all actions, communications, and updates accurately in

    Infinx or client host systems

    .
  • Ensure strict adherence to

    HIPAA

    , patient confidentiality, and compliance requirements at all times.
  • Research and stay updated on payer rules, regulations, and policy changes.
  • Deliver service excellence to patients, clients, and internal stakeholders.
  • Meet or exceed individual and team productivity, quality, and performance targets.


Required Qualifications

  • Education:

  • Minimum

    HSC / 10+2 or equivalent

  • Any Graduate preferred

  • Experience:

  • 1–3 years of experience

    in the

    US healthcare calling / AR process


Skills & Competencies:


  • Experience in

    claims management

    and/or

    customer service

    preferred.
  • Ability to maintain high levels of

    productivity, quality, and accuracy

    .
  • Excellent

    written and verbal communication skills

    to represent Infinx clients professionally.
  • Proficiency in

    Microsoft Office Suite

    and basic computer applications.
  • Strong analytical, problem-solving, and multitasking abilities.
  • Ability to work

    independently

    , remain resourceful, and manage multiple priorities effectively.


Work Environment:


  • Night shift role supporting

    US healthcare operations.

  • Fast-paced, performance-driven AR environment.

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