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2.0 - 4.0 years

3 - 5 Lacs

Visakhapatnam, Hyderabad

Work from Office

Role & responsibilities Job Brief The AR Caller, or Accounts Receivable Caller, plays a vital role in the healthcare revenue cycle. Responsible for contacting insurance companies and patients to follow up on outstanding medical claims. Navigates complex billing and coding processes to ensure accurate reimbursement for healthcare services. Responsibilities 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. Requirements and Skills 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.\ Preferred candidate profile Must have experience in at least one of the following: "Medical billing" "Healthcare billing" "Insurance follow-up" "Claims follow-up" "Denial management" "Claim resolution" Must also have experience in at least one of the following: ICD CPT HCPCS "Medical coding" "Claims adjudication"

Posted 2 weeks ago

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1.0 - 3.0 years

1 - 4 Lacs

Ahmedabad

Work from Office

Job Title: Medical AR (Accounts Receivable) Executive Department: Healthcare RCM (Revenue Cycle Management) Location: Makarba, Ahmedabad Employment Type: Full-Time (Work from Office) Shift Timing: Night Shift (6:30 PM 3:30 AM) Experience Required: 6 months to 3 years in Medical AR Job Summary: We are looking for a skilled and detail-oriented Medical AR Executive to join our Revenue Cycle Management team. The ideal candidate will be responsible for managing accounts receivable processes, following up with insurance companies for claims status, and ensuring timely reimbursement for services rendered. This role plays a key part in maintaining a healthy cash flow and reducing outstanding accounts. Key Responsibilities: Claims Follow-up: Review aging reports and follow up with insurance payers for claim status via phone calls and portals. Resolve denied or unpaid claims through effective communication and re-submissions. Ensure accurate and timely documentation of all follow-up activity in the system. Denial Management: Analyze denial reasons and take corrective actions to get claims reprocessed. Coordinate with billing and coding teams for required corrections or supporting documentation. Payment Posting & Reconciliation: Verify payments received from payers and ensure proper posting. Reconcile accounts and identify discrepancies or underpayments. Reporting & Coordination: Maintain records of follow-up outcomes and report regularly to the team lead. Communicate effectively with clients, providers, and internal teams to resolve AR-related issues. Required Skills & Qualifications: 6 months to 3 years of experience in Medical Accounts Receivable (US Healthcare). Strong knowledge of the RCM process, insurance follow-up, and denial handling. Excellent English communication skills (verbal & written). Familiarity with EHR/EMR systems and payer portals. Basic understanding of CPT, ICD-10, and HCPCS codes. Ability to work under pressure and meet deadlines. Benefits: 5-day working week Free meal facility Professional work environment Growth and learning opportunities

Posted 1 month ago

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