3 - 7 years

0 Lacs

Posted:1 month ago| Platform: Shine logo

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Work Mode

On-site

Job Type

Full Time

Job Description

As a Senior AR Caller, you will be responsible for managing the Accounts Receivable (AR) process for U.S. healthcare providers. Your primary role will involve following up with insurance companies to resolve outstanding claims, ensuring timely reimbursements, and contributing to the overall efficiency of the revenue cycle process. Your key responsibilities will include following up with U.S. insurance companies on outstanding accounts receivable, asking appropriate questions to address specific claim issues, and accurately documenting responses. You will be required to record all actions taken and update notes in the client's revenue cycle management platform. Ensuring that quality and productivity standards are consistently met will be essential. Additionally, you will need to understand various denial codes and reasons and collaborate with insurance carriers for timely claim resolutions. Handling claim submissions through electronic systems, paper forms, or Direct Data Entry (DDE) will be part of your routine tasks. Using client-specific documentation standards for recording call notes and providing support to team members in improving performance, resolving queries, and enhancing productivity will also be expected. Moreover, assisting in the training of junior team members on client-specific processes as necessary will be vital. To excel in this role, you must possess a strong understanding of U.S. healthcare Revenue Cycle Management (RCM) processes. Previous experience in AR calling with a solid grasp of denial management and claim resolution is essential. Familiarity with different methods of claim submission such as EDI, paper, and DDE is required. Excellent communication and interpersonal skills are crucial, along with attention to detail, strong analytical abilities, and effective problem-solving skills. The ability to work both independently and collaboratively within a team environment will be key to your success in this position.,

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