Manage assigned receivables portfolio by ensuring outstanding/denied claims are resolved. Reviews and analyzes outstanding insurance claims, to get physician efforts paid. Identify trends and communicate findings/ errors to appropriate stakeholders in an effort to educate and eliminate future errors. Work with the insurance company on behalf of our clients, represent them and resolve the claims within the timelines and defined Service Level Agreements (SLAs) Interact with insurance org to get the required status update and have the claims resolved. Good Communication Skills Should have a minimum of 2 years of experience in AR Calling and Revenue Cycle Management Willing to work in night shifts
Job Summary: We are looking for a skilled and detail-oriented AR Caller to join our healthcare RCM team. The AR Caller will be responsible for following up with insurance companies and patients on outstanding medical claims, ensuring accurate and timely reimbursement for healthcare services rendered. Key Responsibilities: Review unpaid or denied medical claims from insurance companies. Follow up with insurance companies via phone calls to understand claim status and resolve denials or delays. Initiate appeals or re-submissions as required to ensure maximum claim reimbursement. Document all call details and actions taken accurately in the billing system. Analyze and understand Explanation of Benefits (EOBs) and denial reasons. Meet individual and team productivity and quality targets. Maintain up-to-date knowledge of insurance rules, billing guidelines, and coding standards. Coordinate with internal teams for additional documentation or information needed for claim processing.
Responsibilities: * Manage AR calls with physicians, resolve issues promptly * Follow up on outstanding balances, minimize write-offs * Ensure accurate coding, timely submission of claims
Responsible for calling Insurance companies (in US) on behalf of doctors/physicians and following outstanding Accounts Receivable. To prioritize the pending claims for calling from the aging basket. Should be able to convince the claims company (payers) for payment of their outstanding claims. To check the appropriateness of the insurance information given by the patient if it is inadequate or unclear. To make a physical call by following the international norms and applicable rules for confidentiality and HIPAA compliance. Escalate difficult collection situations to management in a timely manner. Review provider claims that have not been paid by insurance companies. Handling patients billing queries and updating their account information. Post cash and write off the contractual adjustments accordingly while working on the accounts. Meeting daily/weekly and monthly targets set for an individual. Should have a minimum of 2 years of experience in AR Calling and Revenue Cycle Management Willing to work in night shifts
Manage assigned receivables portfolio by ensuring outstanding/denied claims are resolved. Reviews and analyzes outstanding insurance claims, to get physician efforts paid. Identify trends and communicate findings/ errors to appropriate stakeholders in an effort to educate and eliminate future errors. Work with the insurance company on behalf of our clients, represent them and resolve the claims within the timelines and defined Service Level Agreements (SLAs) Interact with insurance org to get the required status update and have the claims resolved. Good Communication Skills Should have a minimum of 2 years of experience in AR Calling and Revenue Cycle Management Willing to work in night shifts