Roles & Responsibilities:
- AR follow-ups with payors for unpaid/denied claims (calling role)
- Benefits verificationvia payor calls (co-pay, deductible, coverage details)
- End-to-end prior authorization management (calling + portals)
- Provider credentialing and CAQH management (non-calling)
Requirements:
- 4+ years of experience in US Healthcare RCM
- Strong experience in AR Calling (mandatory)
- Experience in Advantages Check and Prior Authorization (calling roles)
- Exposure to credentialing preferred
Good communication skills (neutral accent) and ability to work in US shifts