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AR - ( US Medical Billing)

6 - 11 years

4 - 9 Lacs

Posted:1 week ago| Platform: Naukri logo

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Job Type

Full Time

Job Description

Job Summary:

AR Caller


Role & responsibilities


  • Make outbound calls to

    insurance companies (payers)

    to check claim status.
  • Analyze Explanation of Benefits (EOBs)

    and denial codes to determine next steps.
  • Investigate claim denials, underpayments, and delays.
  • Take corrective action by resubmitting claims, filing appeals, or providing necessary documentation.
  • Document call activities, outcomes, and relevant notes accurately in the system.
  • Coordinate with the billing and coding teams to resolve discrepancies.
  • Meet daily/weekly productivity and quality benchmarks.
  • Stay informed on changes in

    payer rules

    , insurance guidelines, and RCM trends.

Preferred candidate profile


  • Strong

    verbal and written communication

    skills in English.
  • Basic understanding of

    US healthcare and insurance claim

    processes.
  • Good analytical and problem-solving skills.
  • Attention to detail and ability to work in a fast-paced environment.
  • Familiarity with

    denial management

    ,

    EOBs

    , and

    RCM workflow

    is an added advantage.
  • Experience with software like

    Athena, NextGen, Kareo, eClinicalWorks

    , or other RCM tools is a plus.


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Bizelite Hr
Bizelite Hr

Human Resources

Los Angeles

50 Employees

6 Jobs

    Key People

  • John Doe

    CEO
  • Jane Smith

    HR Director

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