Roles and Responsibilities: For Payment Posting: Posting insurance and patient payments into the billing software accurately. For AR Calling: Calling insurance companies in the US to follow up on unpaid or underpaid claims. Over time allowance Gratuity
Job Responsibilities: Claim Verification: Verify and review healthcare claims to ensure accuracy and completeness. Learn to identify common billing errors and discrepancies in claim submissions. Initiate Follow-up Calls: Make outbound calls to insurance companies to inquire about the status of claims. Gain exposure to professional communication and develop rapport with insurance representatives. Research Denials and Underpayments: Investigate reasons for claim denials and underpayments. Work closely with senior AR Callers to understand denial codes and resolution strategies. Assist in Appeal Preparation: Support in the preparation of appeal packets for denied or underpaid claims. Learn the documentation and submission process for appeals. Claim Corrections: Understand the basics of correcting errors on claims and resubmitting them. Collaborate with team members to rectify common billing mistakes. Documentation and Reporting: Maintain accurate records of communication and actions taken in the claims billing system. Assist in generating basic reports related to claim status and follow-up activities. Training and Skill Development: Actively participate in training programs provided by the company. Continuously enhance knowledge of medical billing and coding practices.