- Follow up with US insurance companies to resolve outstanding medical claims and collect payments.
- Review unpaid, denied, and underpaid claims to identify root causes and take appropriate action.
- Contact insurance representatives via phone and payer portals to obtain claim status and payment updates.
- Analyze Explanation of Benefits (EOBs) and Electronic Remittance Advice (ERA) to identify payment discrepancies.
- Initiate appeals, corrected claims, and reconsideration requests as required.
- Ensure accurate documentation of call outcomes, claim status, and follow-up actions in the billing system.
- Prioritize accounts based on aging reports and client-specific turnaround time (TAT) requirements.
- Coordinate with internal teams, including Medical Billing, Coding, and Payment Posting, to resolve claim issues.
- Meet daily productivity, quality, and collection targets.
- Maintain compliance with HIPAA regulations, payer guidelines, and client processes.
- Identify trends in denials and recommend process improvements to enhance collections.
- Handle escalations professionally and ensure timely resolution of complex claim issues.
Preferred candidate profile
- 1 to 5 years of experience as an AR Caller in US Healthcare RCM.
- Good understanding of medical billing, insurance claim lifecycle, and denial management.
- Willing to work in US Shifts.
- Candidates who can join with us immediately are recommended.
Perks & Perks
- Two way cab will be provided at free of cost.
- Week - end will be fixed off.
- Medical Insurance
Contact Vimal HR - (phone hidden) ( Whatsapp )
📌 Hiring For AR Callers (Chennai)
🏢 Access Healthcare
📍 Chennai
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