Executive AR / Senior Executive-AR/ SME-AR

Omega Healthcare

1 - 6 years

1 - 6 Lacs

bengaluru karnataka india

Posted:6 days ago| Platform: Foundit logo

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Skills Required

us healthcare ar calling ar caller accounts receivable cpt coding ` rcm physician billing denial management

Work Mode

On-site

Job Type

Full Time

Job Description

Accounts Receivable (AR) Caller

Responsibility Areas

The User is accountable to manage day to day activities of Denials Processing / Claims follow-up

Responsibility Areas:

Should handle US Healthcare providers/ Physicians/ Accounts Receivable.
To work closely with the team leader.
Ensure that the deliverables to the client adhere to the quality standards.
Responsible for working on Denials, Rejections, LOA's to accounts, making required
corrections to claims.
Calling the insurance carrier & Document the actions taken in claims billing summary notes.
To review emails for any updates
Identify issues and escalate the same to the immediate supervisor
Update Production logs
Strict adherence to the company policies and procedures.

Desired Profile

Sound knowledge in Healthcare concept(Physician Billing).
Should have Minimum 2 Year of AR calling Experience in US Healthcare.
Excellent Knowledge on RCM, Medicare, Medicad, Hospice, HMO, PPO, POS, EPO, MCO plans, Modifiers, CPT codes, Office code visits, Drug codes, Appeals, Denial management, CMS-1500 form, clearing house etc.
Understand the client requirements and specifications of the project
Should be proficient in calling the insurance companies.
Ensure targeted collections are met on a daily / monthly basis
Meet the productivity targets of clients within the stipulated time.
Ensure accurate and timely follow up on pending claims wherein required.
Prepare and Maintain status reports.

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