Process Associate

Job Description

Job description An AR (Accounts Receivable) Caller, also known as a Medical Billing Specialist or Revenue Cycle Specialist, typically works in healthcare or medical billing environments. Their primary responsibility is to follow up on unpaid claims submitted to insurance companies or patients for medical services provided. Here's a breakdown of their job description: Claims Processing : AR Callers are responsible for processing claims for medical services rendered to patients. This includes verifying insurance coverage, coding procedures correctly, and submitting claims to insurance companies. Follow-up on Outstanding Claims : They monitor outstanding claims and follow up with insurance companies or patients to ensure timely payment. This involves making phone calls, sending emails, or utilizing online portals to communicate with payers. Denial Management : AR Callers investigate and resolve claim denials by reviewing reasons for denials, correcting errors or discrepancies, and resubmitting claims with necessary documentation. Payment Posting : They accurately post payments received from insurance companies or patients to the appropriate accounts within the billing system. Appeals : In case of claim rejections or denials, AR Callers prepare and submit appeals to insurance companies, providing additional information or documentation to support the claim. Patient Communication : They communicate with patients regarding their financial responsibilities, such as copayments, deductibles, and outstanding balances. This may involve explaining insurance coverage, setting up payment plans, or assisting with financial assistance programs. Documentation and Reporting : AR Callers maintain accurate records of all interactions with insurance companies and patients. They also generate reports to track the status of outstanding claims, payments received, and any trends or issues affecting the revenue cycle. Compliance : They ensure compliance with healthcare regulations and billing guidelines, including HIPAA (Health Insurance Portability and Accountability Act) regulations. Team Collaboration : AR Callers often work closely with other members of the revenue cycle team, including billing specialists, coders, and collection agents, to resolve billing issues and optimize revenue collection processes. Overall, AR Callers play a crucial role in managing the financial aspects of a healthcare organization by ensuring accurate and timely reimbursement for services provided. They need strong communication skills, attention to detail, knowledge of medical billing procedures and insurance guidelines, and the ability to navigate complex billing software systems. Job Type: Full-time Pay: ₹20,000.00 - ₹30,000.00 per month Benefits: Provident Fund Schedule: Day shift Monday to Friday Night shift US shift Supplemental Pay: Joining bonus Performance bonus Education: Bachelor's (Preferred) Experience: Technical support: 1 year (Preferred) tele sales: 1 year (Preferred) total work: 1 year (Preferred) Language: Hindi (Preferred) English (Required) How to apply? Come walk-in at world trade tower, near sanand cross road makarba ahmedabad connect me on 8320127619 Job Type: Full-time Pay: ₹20,000.00 - ₹28,000.00 per month Benefits: Leave encashment Paid sick time Provident Fund Schedule: Day shift Evening shift Fixed shift Monday to Friday US shift Supplemental Pay: Joining bonus Overtime pay Performance bonus Yearly bonus Ability to commute/relocate: Ahmedabad, Gujarat: Reliably commute or planning to relocate before starting work (Required) Application Question(s): Expected CTC Education: Higher Secondary(12th Pass) (Required) Language: English (Preferred) Work Location: In person