AR Caller/Denials Management Specialist (Revenue Cycle Management)

Job Summary:

We are seeking an experienced and detail-oriented AR Caller/Denials Management Specialist to join our Revenue Cycle Management (RCM) team. The ideal candidate will have a minimum of 1 years of experience in AR Calling, Denials Management, or Medical Billing. The candidate should be proficient in English communication skills, possess strong problem-solving abilities, and be capable of managing all aspects of the AR follow-up and denials process.

Key Responsibilities:

• Accounts Receivable (AR) Follow-up:

• Contact insurance companies and patients to follow up on unpaid or partially paid claims.
• Ensure that claims are processed in a timely manner and escalate issues where necessary.
• Investigate and resolve discrepancies in payments, denials, and adjustments.

• Denials Management:

• Review and analyze denied claims to identify root causes.
• Prepare and submit appeals to insurance companies for claim reprocessing.
• Work with insurance companies to address and resolve claim rejections and denials.
• Ensure all denials are appealed or written off in a timely manner.

• Documentation & Reporting:

• Accurately document all communication with payers and patients in the system.
• Maintain a clear record of claims status, denials, and actions taken.
• Generate and review reports to ensure accurate claim follow-up and appeal submission.

• Client Interaction:

• Communicate effectively with clients regarding claim status, denials, and resolution steps.
• Ensure that clients are kept informed of all updates and progress regarding outstanding claims and denials.

• Cross-functional Collaboration:

• Collaborate with other departments (e.g., coding, billing, and customer service) to resolve issues affecting claims.
• Work closely with the management team to streamline processes and improve AR performance.

Qualifications:

• Minimum 1 years of experience in AR Calling, Denials Management within the healthcare industry.
• Strong knowledge of the revenue cycle process, including claims, denials, and denials management.
• Excellent written and verbal communication skills in English.
• Knowledge of medical terminology and insurance processes.
• Familiarity with medical billing software and tools.
• Strong analytical and problem-solving skills with attention to detail.
• Ability to work independently and as part of a team in a fast-paced environment.
• Good organizational skills and the ability to manage multiple priorities simultaneously.

Preferred Skills:

• Experience with payer portals and claims submission tools.
• Familiarity with ICD-10, CPT, and HCPCS coding.
• Proficiency with MS Office (Excel, Word) and relevant RCM software.

No cab or meal facility is available. Only immediate joiners are eligible for the opportunity.

How to Apply: