Posted:22 hours ago| Platform: Shine logo

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On-site

Job Type

Full Time

Job Description

  • AR Caller / Accounts Receivable Caller
  Job Summary
  • Responsible for contacting insurance companies to follow up on outstanding medical claims, resolve payment issues, and ensure timely reimbursement.
  • This role is critical to managing accounts receivable and maintaining the financial health of a healthcare organization. 
  Key Responsibilities
  • Claim Follow-up:

     Proactively call insurance companies to check the status of pending claims.
  • Eligibility and Authorization:

     Verify patient insurance coverage and ensure necessary authorizations are in place.
  • Denial Management:

     Identify, research, and appeal denied claims to resolve payment issues.
  • Payment Resolution:

     Work with payers to secure timely payments for services rendered.
  • Record Keeping:

     Accurately document all call details, claim statuses, and follow-up actions in the system.
  • Collaboration:

     Coordinate with internal billing and collections teams to resolve complex issues.
     

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