Healthcare AR Analyst

2 years

0 Lacs

Posted:1 day ago| Platform: Linkedin logo

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Work Mode

On-site

Job Type

Full Time

Job Description

Job Title: US Healthcare AR Caller

Location:

About the Role

Accounts Receivable (AR) Callers

Key Responsibilities

  • Claim Follow-Up & Resolution:

  • Proactively contact US-based insurance payers via phone to follow up on outstanding medical claims and ensure prompt payment.
  • Form Preparation & Submission:

  • Accurately prepare and submit claim forms in compliance with

    CMS-1500, UB-04, CMS guidelines

    , and third-party payer requirements.
  • Denial Management:

  • Analyze, manage, and resolve claim denials using comprehensive end-to-end denial management knowledge within the US healthcare framework.
  • Compliance & Documentation:

  • Ensure all activities comply with US healthcare regulations, including

    HIPAA

    , and maintain accurate documentation of payer communications and follow-up actions in the billing system.
  • Service Excellence:

  • Maintain a high level of professionalism while interacting with internal teams, clients, and US-based payer representatives.


Required Qualifications & Skills

Experience

  • 1–2 years

    of proven experience as an

    AR Caller

    in the

    US Healthcare industry

    .
  • Mandatory hands-on experience with Epic Software

    .
  • Experience working with

    CMS-1500 claims

    and

    US EOBs (Explanation of Benefits)

    .

Education

  • Any

    Graduate degree

    .

Skills & Knowledge

  • Strong end-to-end knowledge of

    US healthcare denial management processes

    .
  • Familiarity with

    US medical billing codes

    and payer guidelines.
  • Excellent

    verbal communication

    , analytical, and problem-solving skills.
  • Professional command of

    spoken and written English


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