10 Claim Resolution Jobs

Role Overview: As an Accounts Receivables Specialist, your main responsibility will be to analyze and resolve unpaid claims. You will interact with US-based insurance carriers, review insurance EOBs, and understand CMS-1500 and UB-04 claim formats. It is crucial to track and follow up on claims within given timelines and have an understanding of denial management and appeal processes. Experience in Personal Injury and Workers Comp AR will be considered a plus. Key Responsibilities: - Analyze and resolve unpaid claims - Interact with US-based insurance carriers - Review insurance EOBs and understand claim formats - Track and follow up on claims within timelines - Understand denial management ...

As an AR Caller Executive/Sr Executive in the RCM Industry, your role involves making calls to insurance companies for claim resolution, handling denials and rejections to ensure maximum reimbursement, updating and maintaining accurate patient accounts, following up on unpaid claims within standard billing cycle timeframe, resolving billing issues, and improving cash flow. Qualifications required for this role include a Bachelor's degree preferred, minimum 1 year of experience as an AR Caller/Analyst in the healthcare industry, proficiency in revenue cycle management processes, and fluency in Hindi and English languages. The company provides benefits such as food, health insurance, paid time...

Role Overview: As an AR Caller at our Noida, India location, your primary responsibility will be to perform calls to insurance companies to resolve outstanding balances on patient accounts from aging reports. You will also be managing Accounts Receivable (AR) accounts, establishing and maintaining excellent working relationships with internal and external clients, and escalating difficult collection situations to management in a timely manner. Additionally, you will be making calls to clearing houses and EDI departments of insurance companies for any claim transmit disputes, ensuring accurate and timely follow-up on AR accounts, reviewing provider claims not paid by insurance companies, and ...

As an Insurance Operations Manager, your role involves overseeing end-to-end insurance operations with a focus on claims submission, follow-ups, denials management, and reimbursements. You will lead and manage the Accounts Receivable (AR) team to ensure timely collection and reconciliation of dues. Monitoring key performance indicators (KPIs) such as DSO, denial rates, and claim rejection ratios will be crucial. Traveling regularly to insurers and TPAs to reconcile outstanding claims and analyze disallowances are part of your responsibilities. You will also review, interpret, and compare tariffs across insurance partners, collaborating with department heads to determine appropriate pricing f...

As the primary contact for warranty, insurance, and disposal-related matters, you will play a crucial role in supporting claim resolution, conducting cost analysis, and implementing process improvements to enhance operational efficiency. Your responsibilities will include managing warranty claims for components and systems to ensure compliance, handling aviation insurance claims by collaborating with brokers and adjusters, tracking, analyzing, and resolving claim data to enhance risk mitigation, coordinating the disposal of obsolete or unserviceable parts in adherence to regulations and environmental standards, and maintaining accurate records and reporting for warranty, insurance, and dispo...

As a Senior AR Caller, you will be responsible for managing the Accounts Receivable (AR) process for U.S. healthcare providers. Your primary role will involve following up with insurance companies to resolve outstanding claims, ensuring timely reimbursements, and contributing to the overall efficiency of the revenue cycle process. Your key responsibilities will include following up with U.S. insurance companies on outstanding accounts receivable, asking appropriate questions to address specific claim issues, and accurately documenting responses. You will be required to record all actions taken and update notes in the client's revenue cycle management platform. Ensuring that quality and produ...

The Accounts Receivable Caller, also known as AR Caller, is a crucial team member in the healthcare revenue cycle. Your primary responsibility will involve communicating with insurance companies and patients to effectively follow up on unresolved medical claims. You will need to navigate through intricate billing and coding procedures to guarantee accurate reimbursement for the healthcare services provided. As an AR Caller, you will be expected to initiate calls to insurance companies to resolve claims and conduct necessary follow-ups. You must also address any inquiries from patients regarding billing matters, ensuring that you provide them with clear and concise explanations. Collaborating...

Job Description: As a member of our team in Noida, India, you will be responsible for performing calls to insurance companies to resolve outstanding balances on patient accounts from aging reports. Your duties will also include managing Accounts Receivable (AR) accounts, establishing and maintaining excellent working relationships with internal and external clients, and escalating difficult collection situations to management in a timely manner. Additionally, you will be required to make calls to clearing houses and EDI departments of insurance companies for any claim transmit disputes, ensuring accurate and timely follow-up on AR accounts, reviewing provider claims unpaid by insurance compa...

The job requires you to be responsible for various key areas such as maintaining relationships with partners and retailers, demonstrating the product effectively, conducting market and partner visits, analyzing sales reports to identify corrective actions, proposing programs for retailers and partners, optimizing productivity, managing internal and external stakeholders, acquiring new retailers in the assigned territory, reporting to Regional Managers, conducting regular training sessions, and maintaining good relationships with retailers. The ideal candidate should possess a minimum of 3 to 10 years of experience in Sales, Distribution, Telecom, Channel Management, or Retail. A graduate deg...

Description We are seeking an experienced AR Caller with expertise in Hospital Billing/Physician Billing to join our team. The ideal candidate will play a crucial role in managing our accounts receivable, ensuring timely follow-ups on outstanding payments, and maintaining accurate billing records. Responsibilities Contact healthcare providers, patients, and insurance companies to follow up on outstanding accounts receivable. Review and analyze billing statements and payment trends to identify discrepancies. Resolve billing issues and provide solutions to ensure timely payment. Maintain accurate records of communications and payments received in the billing system. Collaborate with the billin...