AR Callers - PB

Job Description: You will be responsible for reviewing and following up on unpaid or denied insurance claims, analyzing Explanation of Benefits (EOBs) and Remittance Advice (RA) to determine appropriate action, working denials and rejections in a timely manner, collaborating with coding and billing teams to resolve discrepancies or missing documentation, updating claim status and notes in the billing system (e.g., EPIC, Kareo, eClinicalWorks), and meeting productivity and quality targets such as the number of claims worked per day and resolution rate. Key Responsibilities: - Review and follow up on unpaid or denied insurance claims (primary and secondary). - Analyze Explanation of Benefits (EOBs) and Remittance Advice (RA) to determine appropriate action. - Work denials and rejections in a timely manner and re-submit corrected claims as needed. - Collaborate with coding and billing teams to resolve discrepancies or missing documentation. - Update claim status and notes in the billing system (e.g., EPIC, Kareo, eClinicalWorks). - Meet productivity and quality targets (e.g., number of claims worked per day, resolution rate). Qualifications Required: - High School Diploma or equivalent (Associate's degree preferred). - 15 years of experience in Physician billing, with emphasis on CMS-1500 claim processing. - Knowledge of Medicare, Medicaid, and commercial insurance guidelines. - Familiarity with EHR and billing systems (e.g., Epic, Cerner, Meditech). - Detail-oriented with strong problem-solving skills. - Ability to work independently and meet deadlines.,