149 Eligibility Verification Jobs - Page 5

Dear Candidate Job DescriptionAt Medtronic you can begin a life-long career of exploration and innovation, while helping champion healthcare access and equity for all. You will lead with purpose, breaking down barriers to innovation in a more connected, compassionate world. Role: Insurance Verification / Collection Location: Pune Viman Nagar (Night Shifts ) Experience: 0.8 to 3 Yrs. (No Opening for Freshers or Undergrads) CTC: 3 to 8 Key Skills US Healthcare - Mandatory Provider Side - Mandatory Excellent Comm Skill - Mandatory Blended Process or Voice Process - Mandatory Denial Management - Preferred Eligibility verification (EVBV) - Preferred Collection - Preferred AR Calling, RCM, Appeals ,Collection About Profile Its a blended process of Voice and Non Voice Demonstrated ability to prioritize work, handling daily and multiple tasks to completion within the time allotted. Ability to prepare forms, spreadsheets, and graphs. Experience with reading, and understanding medical policy information, and utilizing insurance benefit and coverage information to calculate estimated patient responsibility, taking into consideration pre-determination, referral, authorization, and contract terms. Experience with various insurance plans offered by both government and commercial insurances (i.e., PPO, HMO, EPO, POS, Medicare, Medicaid, HRAs) and coordination of healthcare benefits, including requirements for referral, authorization, and pre-determination. Experience with medical billing and collections terminology CPT, HCPCS and ICD-9 coding. Experience with HIPAA guidelines and healthcare compliance. Previous experience in receiving and making outbound calls to patients to explain insurance benefits related to health insurance, and/or discussing patient financial responsibilities. Proficiency in navigating multiple screens and MS Office Suite Nice to Have Demonstrated ability to prioritize work, managing daily and multiple tasks to completion within the time allotted Ability to prepare forms, spreadsheets, and graphs. Experience in a payor or medical provider community that deals with all aspects of the revenue cycle. Experience with reviewing and analyzing insurance payments, and/or payer adjudication claims against contract terms and patient coverage and benefits. Experience reading and understanding the information provided on EOBs, remittance advices, and other insurance correspondence, and in calculating patient responsibility taking into consideration coverage and benefits, including referral, authorization, and/or pre-determination requirements, and contract terms. Experience with various insurance plans offered by both government and commercial insurances (i.e., PPO, HMO, EPO, POS, Medicare, Medicaid, HRAs) and coordination of healthcare benefits, including requirements for referral, authorization, and pre-determination. Experience with medical billing and collections terminology CPT, HCPCS and ICD-10 coding. Experience with HIPAA guidelines and healthcare compliance. Previous experience in receiving and making outbound calls to patients to explain insurance benefits related to health insurance, and/or discussing patient financial responsibilities *Note Very Good to Excellent comm skill is Mandatory. -Payer experience, Please dont apply -Working in Backend or NON Voice please dont apply -Working in Voice Process or outbound calls are Preferred -Good to Excellect Comm Skill Required Recruitment Drive Details Date: 29th Mar 2025 (Saturday) Reporting Time: 11:00 AM to 2:00 PM Point of Contact: Shreya Sinha +91-9708168419 (WhatsApp Only) Important Notes: Carry 2 hard copies of your resume , a government ID proof. and Laptop if available Write " Shreya " at the top of your resume. Virtual interviews are available only for candidates outside Pune. Application Process: If interested, please send your updated resume to shreya.singh@medtronic.com or Whatsapp at 9708168419 Drive Link: https://forms.office.com/e/sQfbueBrLu Regards, Shreya Sinha Sourcing Specialist shreya.singh@medtronic.com

Handle prior authorization requests for medical procedures, diagnostic tests, surgeries, and prescription medications. Liaise with healthcare providers and insurance companies to collect required information. Review patient records and billing data to determine prior authorization requirements. Maintain accurate documentation by updating patient records and billing systems with authorization details. Monitor authorization requests , follow up on approvals or denials, and resolve issues, appeals, and discrepancies efficiently. Ensure compliance with insurance guidelines, policies, and industry regulations while meeting productivity and quality targets . Preferred Candidate Profile: 5 to 8 years of experience in RCM with expertise in Prior Authorization . Strong communication and customer service skills .

Job description Greetings from Lincoln reimbursement solutions (Direct Client) !! Role : Senior AR Caller Eligibility Verification & Prior Authorization Location : Chennai (WFH) Experience : 4 Years to 7 Years Benefits: Salary Credit on 25th Every month PF & 20 Lakh ICICI Health And Personal Insurance Permanent work from home Reports To: AR Manager Job Summary: The Senior AR Caller is responsible for verifying patient insurance eligibility, obtaining prior authorizations, and resolving claim-related issues to ensure timely reimbursement. This role requires expertise in navigating payer portals, interpreting insurance benefits, and communicating with insurance representatives to prevent claim denials. Key Responsibilities: 1. Insurance Eligibility Verification Verify real-time patient eligibility using payer portals (Availity, Navinet, Change Healthcare, etc.) and phone calls. Confirm active coverage, benefits, copays, deductibles, and plan limitations . Document verification details in the practice management system (PMS) for clean claim submission. 2. Prior Authorization (PA) & Referral Management Identify procedures requiring prior authorization based on payer policies. Submit PA requests via portals, fax, or phone and track approvals. Escalate urgent/expedited authorizations when necessary. Ensure authorizations are linked to claims to prevent denials Qualifications & Skills: 4 + years in medical billing AR , with expertise in eligibility verification & prior auth . Proficiency in payer portals (Availity, ePACES, CoverMyMeds) and PMS (Epic, Cerner, NextGen, etc.) . Strong knowledge of HIPAA, CMS guidelines, and insurance policies (Medicare, Medicaid, Commercial, HMOs) . Ability to interpret EOBs, CPT/HCPCS codes, and medical necessity requirements . Excellent phone etiquette and negotiation skills for payer calls. Interested candidates, please share your profiles to Email ID recruiting@lincolnrs.com with the following Application Question(s): How many years of experience do you have in Eligibility Verification & Prior Authorization? Do you have WFH setup? What is your last take-home salary? What is your expected take-home salary? May I know your notice period?

Hiring for AR caller profile for One of the leading MNC's. Required 12 months of experience in AR follow-up for US healthcare process Salary Up-to 45K In-hand Saturday Sunday Fix Off Both side Cabs To Apply, WhatsApp on 9354076916 - Anisha Required Candidate profile 1. Minimum 12 months of experience in AR follow-up for US healthcare processes. 2. Excellent communication skills, both verbal and written. 3. Familiarity with medical billing and coding procedures.

Role & responsibilities Excellent Knowledge in Denials Can perform HIPAA compliant auto and manual posting requirements Executes daily payment posting batch reconciliation Understanding of posting offsets, forward balance, and refund processing / posting Familiar with denial and remarks codes to perform posting and assignment of AR appropriately Familiar with secondary billing process while perform cash posting Clear understanding on: • ERA & EOB • ERA codes • Insurance types • Balance billing • Co-ordination of Benefits Ensure full compliance with all company, departmental, legal and regulatory requirements with regards to Payment Posting procedures and practices Good verbal and written communication and presentation skills Ability to execute and accomplish tasks consistently within deadlines Basic knowledge of MS Office Experience working on imagine systems and Advanced MD would be an added advantage Candidate Requirements: Willingness to work in US shifts Minimum 1 year experience in Medical RCM {Revenue Cycle Management} Candidate should have good knowledge of denials Share your CV Shweta Thombare Contact : 7031257111 Email : shweta.thombare@in.credencerm.com

Strong Knowledge of MS Office, Analytical skills mandatory Excellent Personal and Interpersonal skills; Quick Decision making & problem-solving abilities US Healthcare Domain knowledge and Awareness Ability to adapt fast paced work culture and deliver results Stakeholder Management, Time Management, Report Management, Work Management, People Management, Process Management (New & Old Process) etc. and not limited to this only Should be able to adapt (Unlearn & Learn) as per the Organizational and Business Requirements and work on successful implementation Understanding of criticality of defined SLAs and delivering the results To constantly evaluate and adopt measures to improve service levels to meet changing business and client requirements To schedule resources according to customer estimates to deliver the SLAs and to dynamically adjust the resources whenever necessary to maintain the SLAs Clear understanding of KRAs and thrive results in line with the desired goals and expectations Must have chaired Performance Evaluation and Management Should possess basic understanding of general policy and procedures of day-to-day operations as per market standards Proactive approach, excellent work ethics Optimizing resource utilization Should have excellent communication skills Should have excellent RCM Knowledge Should have excellent people management skills Position required employees to Work from Office location - HYD Shift timings:- 9PM- 6AM

Hiring for AR caller profile for One of the leading MNC's. Required 12 months of experience in AR follow-up for US healthcare process Salary Up-to 45K In hand Saturday Sunday Fix Off Both side Cabs To Apply, WhatsApp on 9354076916 - Anisha Required Candidate profile 1. Minimum 12 months of experience in AR follow-up for US healthcare processes. 2. Excellent communication skills, both verbal and written. 3. Familiarity with medical billing and coding procedures.

Healthcell is hiring for Voice process in the night shift (Eligibility & Verification) Excellent communication skills required. Candidates with prior BPO experience can apply/ FRESHERS are welcome. Interested candidates please share your CV on jobs@healthcellindia.com. Please Note : Job Application to be sent only via email. Please call @ 8369857886 / 9819446869 Required Candidate profile Excellent English Communication skills required. Freshers from with excellent communication skills can also apply. Candidates only from Western line should apply. Graduation is mandatory. Perks and Benefits >Salary not a constraint for the right candidate > Drop will be provided >5 Days working >Insurance

Role Objective The job will be to evaluate the web and voice transactions to make sure they are error free and compliant towards the process & sharing feedback to Onshore with transcribes typed by listening 100% of the patient's feedback surveys. Essential Duties and Responsibilities: QA Will do audits as per the weekly-monthly audit plan and do PKTs of the team members. Participate in process & training calls as required. Reports sharing to communicate performance effectively and timely with Ops and QA team Will be actively involved in creating audit & sample plan, feedback sharing & training the team members weekly, based on the themes identified. QA will be involved in weekly or biweekly calibration calls. Will be actively involved in managing escalations received externally and internally. Work closely with the Ops supervisors and quality team to develop agent & team level action plans for Quality improvement. May have to work long shifts whenever needed and to effectively handle challenging situations. Perform all other assigned tasks and responsibilities as assigned. Work in all shifts on a rotational basis if required. Qualifications: Graduate in any discipline from a recognized educational institute Good analytical skills and proficiency with MS Word, Excel, and PowerPoint. Good communication Skills (both written & verbal). At least, 3 to 4 years exp in RCM AR Skill Set: Well versed in transactional and voice audits (up to 100%) Should have working knowledge of sampling methods, PDCA, DPO, DPMO and other Quality Tools and methods Proficient in MS Office Should have Analytical and problem-solving skills. Should be able to capture VOC and document effectively. Should be able to prepare SOP and document process whenever required. Ability to work independently and to carry out assignments to complete within parameters of instructions / SOP. Should be flexible with working in 24/5 environment. Should be good in abiding predefined instructions and processes.

Role & responsibilities Obtain Prior Authorization from Insurance, providers for medical procedures, diagnosis tests, surgeries, and prescription medications. Communicate with healthcare providers, and insurance companies to gather the necessary information for authorization. Review patient records and billing information to identify prior authorization requirements. Update patient records and billing systems with prior authorization information. Track the status of authorization requests and follow up with insurance companies on pending approvals or denials. Resolve Authorization issues, appeals, and discrepancies promptly. Meet productivity and quality standards. Stay up-to-date with insurance policies, procedures, and regulations Preferred candidate profile 5 to 8 years of experience in hospital billing, Denial Management, and US Healthcare/ US Revenue Cycle Management, hospital billing Prior Authorization Strong communication and customer service skills Ability to work in a fast-paced environment and meet productivity standards Basic knowledge of medical terminology and billing procedures Bachelor's degree preferred. Venue: WorldSource Healthcare India Pvt., Ltd., #16, RAJIV GANDHI SALAI, 4TH FLOOR WEST WING / BLOCK II, OMR KARAPAKKAM, CHENNAI - 600097. Send Resumes to: skrishnamurthy@worldsourceteam.co.in / people-culture@worldsourceteam.co.in Contact: 7397744009 / 9940065113

As a Program Specialist, you'll play a vital role in ensuring accurate patient information for the insurance reverification. You'll be responsible for: Outbound Calling: Conducting calls to payers to verify medication details, costs, and eligibility for coverage. Benefits Investigation: Working closely with doctor's offices to investigate insurance benefits and coordinate prior authorizations. Patient Assistance: Providing comprehensive support to patients, including identifying alternative coverage options and tracking prescription orders. Key Responsibilities Document calls and efficiently handle escalations. Conduct insurance verifications and coordinate prior authorizations. Process patient applications and follow up on inquiries. Liaise with distributors and manufacturers for product requests. Coordinate prescription transfers to specialty pharmacies. Educate patients on available insurance options. Assist with training new team members. Maintain a professional and friendly Demeanor. Qualifications: Graduation- Bachelors degree 1-year minimum Customer service, healthcare preferred Insurance benefits verification experience Previous International Call center experience (Outbound) Experience with benefits investigation, Experience working remotely in US shift (6pm- 3am) Computer/technology experience Strong communication skills

AR CALLER EXPERIENCE - ONLY WORK FROM OFFICE We are Hiring Candidates who are experienced in AR calling voice process Profile - Hospital Billing /Physician billing/ Eligibility Verification Experience - ( 6month to 3+yrs) Shift: Night Shift (6pm to 3am) 5 days' work (Weekend fixed OFF) Job location: Chennai (Work from Office) Both Pickup ad drop!! CONTACT - HR / Varsha M 9360570297

Job Title: Accounts Receivable (AR) Caller/ EV Caller Medical Billing Job Type: Full-Time Job Summary: We are looking for an Accounts Receivable (AR) Caller to join our dynamic medical billing team. The ideal candidate will be responsible for handling the follow-up on unpaid claims, resolving billing discrepancies, and working directly with insurance companies to ensure timely payment. This role requires strong communication skills, attention to detail, and knowledge of medical billing practices. Key Responsibilities: Follow up on outstanding insurance claims and unpaid accounts. Communicate with insurance companies to resolve claims issues, including denials and underpayments. Ensure accurate and timely payment posting into the system. Work with the billing team to correct any claim discrepancies or coding errors. Review EOBs (Explanation of Benefits) and identify any errors or discrepancies. Maintain detailed records of all communication and updates with insurance companies and clients. Escalate unresolved issues to higher management as needed. Keep up to date with changes in insurance policies and reimbursement regulations. Qualifications & Requirements: Experience: Minimum 1-2 years in accounts receivable, medical billing, or related field. Knowledge: Understanding of medical billing, AR processes, and insurance terminology (Medicare, Medicaid, PPO, HMO, etc.). Skills: Strong verbal and written communication skills. Attention to detail and problem-solving abilities. Familiarity with medical billing software (e.g., Kareo, Athenahealth, eClinicalWorks). Ability to multitask and prioritize effectively. Education: High school diploma or equivalent (preferred: Bachelors degree in Healthcare Administration or related field). Shift: Night shift (for US-based clients) / Flexible working hours. Transportation: No cab facility provided candidates must arrange their own commute. Benefits: Competitive salary & incentives Health insurance (if applicable) Career growth opportunities Training & development programs Interested Candidates please contact Sheefha- 9360331150

AR CALLER EXPERIENCE - ONLY WORK FROM OFFICE We are Hiring Candidates who are experienced in AR calling voice process Profile - Hospital Billing /Physician billing/ Eligibility Verification Experience - ( 6month to 3+yrs) Shift: Night Shift (6pm to 3am) 5 days' work (Weekend fixed OFF) Job location: Chennai (Work from Office) Both Pickup ad drop CONTACT - Gayathri 9944961774

Job Title : AR Caller & US Healthcare Medical Billing RCM Specialist Job Description : We are seeking a skilled AR Caller & US Healthcare Medical Billing RCM Specialist to manage and optimize revenue cycle processes for our healthcare clients. The ideal candidate will handle accounts receivables, follow up on denied or unpaid claims, and work directly with insurance companies to resolve outstanding issues. The role requires a deep understanding of medical billing, claims processing, and insurance follow-up within the US healthcare system. Key Responsibilities : Manage accounts receivable, including timely follow-up on unpaid claims Call insurance companies to resolve denied or delayed claims Investigate and address claim rejections or underpayments Review and submit appeals for denied claims Maintain accurate documentation and reporting on claim statuses Collaborate with billing teams to improve revenue cycle processes Stay updated on payer rules, regulations, and changes in billing practices Qualifications : 1+ years of experience in US healthcare billing and RCM processes Familiarity with EOBs, denials, and insurance payer policies Excellent communication and negotiation skills Proficiency in medical billing software and MS Office Hiring for freshers salary 10.7k to 17k ( Depends on last drawn salary) Location- Mumbai Preferred : Certification in Medical Billing and Coding or equivalent Experience with Medicare/Medicaid billing Location : Pune / Navi Mumbai / Banglore / Andheri / Ghansoli Job Type : Full-time Contact Details. Shreya - 9136512502

AR CALLER EXPERIENCE - ONLY WORK FROM OFFICE We are Hiring Candidates who are experienced in AR calling voice process Profile - Hospital Billing /Physician billing/ Eligibility Verification Experience - ( 6month to 3+yrs) Shift: Night Shift (6pm to 3am) 5 days' work (Weekend fixed OFF) Job location: Chennai (Work from Office) Both Pickup ad drop CONTACT - Monisha Babu -6382106412

Role & responsibilities Experience in Eligibility Verification. End to end RCM (Revenue Cycle Management) or Revenue Cycle management. Preferred candidate profile Bachelor/master's degree is mandatory. Flexibility with shift timings. Looking for Immediate Joiners. In Case if you are interetsed please share your cv to below email id Saddla@primehealthcare.com

Role & responsibilities Identify and resolve issues with unpaid or denied claims. Ensuring the organization receives the appropriate reimbursement for services rendered. Ensure timely payment of claims by appealing denials and correcting any errors. Provide excellent customer service by effectively addressing inquiries and concerns. Maintain accurate and up-to-date records of all communication and actions taken. Preferred candidate profile Previous experience in medical billing or revenue cycle management. Knowledge of medical billing software and insurance claim processing systems. Excellent communication and interpersonal skills. Ability to multitask and prioritize work. Ability to work in Rotational week-offs Candidates who have done external auditing are highly preferred. 7. willing to work in office .. **AR CALLER** - Physician Billing & Hospital Billing & EV VOICE (1 - 4yrs exp ) Salary - Open Discussion WL - Bangalore WFO Only **Interested can DM 7550062225 or drop youre cv in whatsup platform** Thanks regards, INDHU -TAG Senior Lead HR "Be Kind to Everyone"

AR CALLER EXPERIENCE - ONLY WORK FROM OFFICE We are Hiring Candidates who are experienced in AR calling voice process Profile - Hospital Billing /Physician billing/ Eligibility Verification Experience - ( 6month to 3+yrs) Shift: Night Shift (6pm to 3am) 5 days' work (Weekend fixed OFF) Job location: Chennai (Work from Office) Both Pickup ad drop CONTACT - HR / Shobana K -8248223875

Job description Greetings from Vee HealthTek...!!! We are hiring for candidates who have experienced in EV/BV Caller with Authorization Experience - for medical billing in the US Healthcare industry... Experience - 1 to 4 years excellent communication skills. Designation - AR Caller/Senior AR Caller Expertise in EV , BV and Authorization experience is Mandatory - Physician Billing / Hospital Billing. Joining: Immediate/ or a max of 10-12 days Work Mode: Work from Office Night shifts Salary - 2.5 to 4.5LPA. Perks and benefits: * Week Off Details: Fixed off on Saturdays & Sundays * Cab facility: 2-way cab available * Night shift allowance * 900rs worth food coupon * Incentives based on performance Interested candidate's kindly contact HR: - Name - Arun Kumar Contact Number - 8971452768 available on whatsapp Mail Id -Arunkumar.n@veehealthtek.com

We're Hiring! Explore multiple roles and take your career to new heights! 1. Role : AR CALLER/ SR AR CALLER Work Locations: Mohali, Coimbatore, Bengaluru Experience Required: 1 to 6 years (Denial Management) Job Responsibilities: Insurance Follow-Up Call insurance companies to check claim status and resolve payment issues. Denial Management Analyze and work on denied claims to ensure reimbursement. Claim Processing & Appeals Initiate and process appeals for underpaid or denied claims. Coordination with Teams Work closely with billing teams to ensure claim accuracy and quick resolution. Maintain Productivity & Quality Standards Meet daily/weekly targets for call volume and claim resolutions . Documentation & Reporting Maintain accurate records of interactions and claim statuses. Required Skills & Qualifications: 1. Strong communication skills in English (Verbal) . 2. Medical Billing & Coding Knowledge Familiarity with CPT, ICD-10, and HCPCS codes. 3. Experience in RCM ( Revenue Cycle Management ) Understanding of claim submission, follow-up, and reimbursement. 4. Problem-Solving & Analytical Skills Ability to identify claim issues and resolve them efficiently. 5. Attention to Detail Ensure accuracy in claim handling and documentation. 6. Basic Computer Skills Proficiency in MS Office and medical billing software (e.g., EPIC, eClinicalWorks, NexGen). 2. PAYMENT POSTING AND CHARGE ENTRY Work Locations: Bangalore Experience Required: 1 to 6 years Job Responsibilities: 1. Post payments from insurance companies, patients , and other sources accurately into the billing system. 2. Verify and reconcile payments with - EOBs, ERAs, and other remittance advice. 3. Identify and process denials, adjustments, and refunds as per payer guidelines. 4. Ensure compliance with - HIPAA and healthcare industry regulations. 5. Coordinate with the AR team to resolve payment discrepancies and maintain accurate financial records. Required Skills & Qualifications: Payment Posting in Medical Billing Explanation of Benefits (EOB) & Electronic Remittance Advice (ERA) Revenue Cycle Management (RCM) Denial & Adjustment Processing Claims Reconciliation & Refunds Insurance Payment Verification Accounts Receivable (AR) Management HIPAA Compliance & Data Security Attention to Detail & Accuracy Experience with Billing Software (e.g., EPIC, eClinical Works, Athena Health ) Perks and Benefits: Competitive salary and incentives Training and career growth opportunities Supportive work environment Please share your updated Resume to hr1@jobixoindia.com (or) Whatsapp : 7200180665 (Suganthi- HR) / 7200176823 (Thirsha- HR) Apply Now! Don't Miss This Exciting Opportunity!

CREDENSE MB is looking for multiple candidates with good analytical skills with understanding of US Health care. Candidate should have knowledge on Complete Revenue Cycle Management Accounts Receivables Medical Billing **MUST HAVE EXCELLENT COMMUNICATION SKILLS IN ENGLISH ** **MUST BE GOOD IN MS OFFICE TOOLS****NEED TO WORK IN SHIFTS ** Job Description: US Healthcare Charge Entry Payment posting Accounts Receivables Calls Denials and Appeals Management End to End Billing Cycle Management Posting Payments Eligibility Verification Prior Authorization Knowledge of Insurance Eligibility verification Good understanding of medical terminology, disease processes Excellent Communication Skills Willingness to work late/night shift/US Timings Initiate calls to insurance companies for claim resolution and follow-up. Address patient inquiries regarding billing issues and provide clear explanations. Collaborate with internal teams to resolve discrepancies and expedite claims processing. Maintain detailed records of interactions and claim statuses for accurate reporting. Adhere to industry regulations and compliance standards in all communication and documentation. Experience in healthcare revenue cycle management or a related field. Understanding of medical billing codes, insurance processes, and claim adjudication. Strong communication skills for effective interaction with insurance companies and patients. Attention to detail and accuracy in navigating complex billing and coding systems. Adaptability to evolving industry regulations and technological advancements. This job requires the ability to work with others in a team environment, the ability to accept direction from superiors and the ability to follow Company policies and procedures. Regular, predictable and dependable attendance is essential to the satisfactory performance of this job.

Greetings from E-care India Pvt Ltd!!! We are looking for Experienced AR Callers!! Designation: Executive AR Caller / Senior AR Caller. Job Responsibilities: - Min of 1 Year to 4 years into AR calling experience is required. - Knowledge into Healthcare concept is mandatory. - Knowledge on Denial management. - Good communication skills. - Understand the client requirements and specifications of the project. Job Benefits: - Joining Bonus - Attractive Attendance and performance incentives. - Free one-way cab drop facility for all employee and home drop for women employees - Fixed Week off. - Medical Insurance will be covered. - Free refreshments will be provided. - Reward & Recognition practice. Interested and Suitable candidates can send your resume through WhatsApp along with the below mentioned information @ 9344624861 Name: Position applying for: AR Calling Current company: Current Salary: Expected Salary: Notice period: Current Location: **Note: Mention you're looking for AR calling position in the WhatsApp message along with the updated resume while sending. Interviews will be happening through G-meet only

JD for Senior AR Caller - ELIGIBILITY VERIFICATION AND PRIOR AUTHORIZATION: OPENINGS FOR Senior AR Callers (Eligibility Verification and Prior Authorization) Immediate Joining !!! Notice Period (15 Days) Maximum Mode of Interview: In-person/ virtual Availability: Work from office Eligibility: Candidates holding 1 to 3 Years of Experience into Medical Billing Domain as EVPA AR Callers can only apply for this position. Industry - Medical Billing Domain - US healthcare Shift Timing - 6:30 PM - 3:30 AM Working Days - 5 days (Fixed weekend Off) Process - AR Calling (Eligibility Verification and Prior Authorization) Benefits: Salary & Appraisal - Best in Industry Monthly Performance Incentives up to Rs. 8000/- Excellent learning platform with great opportunity to build career in Medical Billing Quarterly Rewards & Recognition Program Dinner for Night Shift Medical Insurance Coverage Referral Bonus Upfront Leave Credit Only 5 days working (Monday - Friday) Two way drop cab facility for female employees Contact Details: HARINI P Email id: harinip@prochant.com Contact No : 8870459635

Job Title: Senior AR Caller / AR Caller Report To: Team Leader Experience: 1 - 5 Years Qualification: PUC / 12th/ Any degree Location: Bangalore / Coimbatore Shift Time: 6:30PM - 3:30 AM - Night shift Mode: Work from office Terms-Fulltime/Part time/Contractual: Full-time Job Summary As an AR caller/Senior AR Caller, you will be responsible for tasks related to medical billing. These include contacting insurance companies, patients, or responsible parties to resolve unpaid or denied medical claims. This role aims to ensure timely payment, maximize revenue, and minimize financial losses for healthcare providers. Key Responsibilities Meet Quality and productivity standards. Contact insurance companies for further explanation of denials & underpayments. Experience working with multiple denials is required. Take appropriate action on claims to guarantee resolution. Ensure accurate & timely follow-up where required. Should be thorough with all AR Cycles and AR Scenarios. Should have worked on appeals, refiling, and denial management . Mandatory Skills Excellent written and oral communication skills. Minimum 1-year experience in AR calling Understand the Revenue Cycle Management (RCM) of US Healthcare providers. Basic knowledge of Denials and immediate action to resolve them. Follow up on the claims for collection of payment. Responsible for calling insurance companies in the USA on behalf of doctors/physicians and following up on outstanding accounts receivables. Should be able to resolve billing issues that have resulted in payment delays. Must be spontaneous and enthusiastic Desired skills Experience Hospital billing is an added advantage Experience in EPIC, ATHENA and NextGen