Experienced AR callers - Dental AR

Job Description

Minimum 1 years of work experience in accounts receivables with relevant experience in Dental AR Basic knowledge of payment posting concepts; how to post adjustments, credits etc Basic knowledge claim edits and clearing house rejection resolution Good Typing speed and keyboard skills Good mathematical knowledge of basic concepts such as how to calculate % Good reasoning and analytical skillsTeam playerData analysis skills Good Root Cause Analysis capabilitiesExcel and MS Office skills Excellent Vocal Communication Adaptability to work in different shifts, teams, and roles Calling Insurance companies on behalf of dentists/dental clinics and following up on outstanding accounts receivable Prioritize the pending claims for calling from the aging bucket as per the strategy defined Analyze and execute corrective actions to the claims company (payers) for payment of outstanding claims Review claims as per status from insurance and take appropriate next action defined by the client SOPs Review provider claims that have not been billed, in process, pending additional information, paid, and /or denied by Insurance companies Abide with laws governing process and applicable rules for confidentiality and HIPAA compliance Escalate difficult collection situations to management on time Meeting daily/weekly and monthly quality and production targets set for an individual The AR is responsible for the daily submission of the completed dental appointments for the dental clinic They check for the appropriate X-ray, Narrative, and Perio chart that needs to be attached to the claim basis for the services being billed Calling Insurance companies on behalf of dentists/dental clinics to request the EOBs required to bill the secondary/tertiary claim Cross-reference medical records and billing information to verify accuracy They ensure that eligibility is verified for the payors before billing the claims to the insurance