Follow up with insurance companies by phone and email on pending claims to ensure timely resolution and payment.
- Investigate and resolve rejected or underpaid claims by identifying issues and initiating appeals or corrections.
- Collaborate with billing, coding, and finance teams to address discrepancies and ensure accurate claim submission.
- Maintain detailed and accurate records of all communications, claims, and actions taken in the billing system.
- Analyze trends in claim rejections and delays to suggest improvements in billing and collection processes.
- Ensure compliance with HIPAA regulations and other healthcare industry standards in all communications and documentation.
- Provide qualified responses to patient inquiries regarding billing and claims issues.
- Achieve daily and monthly accounts receivable collection goals through proactive claim follow-up and issue resolution.
- Escalate unresolved or complex claims to the appropriate departments for further investigation.
- Stay informed about insurance policies, billing procedures, and industry regulations to enhance efficiency and accuracy.
Qualifications
- Bachelor’s degree in Healthcare Administration, Medical Billing, or a related field.
- Holding advanced certifications like Certified Professional Biller (CPB) or Certified Professional Coder (CPC) is preferred.
Skills and Abilities
- Thorough understanding of medical billing codes, insurance claim adjudication, and reimbursement guidelines.
- Excellent communication skills for effective interaction with insurance companies and patients.
- Proficient in medical billing software and MS Office applications to manage billing cycles and documentation.
- Strong attention to detail to accurately analyze claims, identify discrepancies, and prevent denials.
- Ability to handle high call volumes while maintaining professionalism and meeting collection targets.
- Skilled in negotiation and problem-solving to resolve claim denials and expedite payment collections.
- Ability to adapt to changes in healthcare regulations and proficiency in emerging technologies like AI-driven billing tools.
- Ability to support a diverse range of patient populations and enhance communication effectiveness.
Experience: Basic understanding of medical billing, insurance claims, and healthcare revenue processes; eager to learn AR operations and billing software.
Working Hours: 10:00 AM to 6:00 PM
Salary and Benefits
- Competitive base salary with performance-based incentives or bonuses.
- Health insurance coverage, including medical and vision.
- Paid time off (PTO) and public holidays.
- Retirement savings or provident fund contributions.
- Professional development and training opportunities in medical billing and AR.
- Flexible work hours or hybrid work options, if applicable.
- Supportive work environment with team-building activities and recognition programs.
Pay: ₹25,000.00 - ₹45,000.00 per month
Work Location: In person
📌 Sr. AR Caller (Chennai)
🏢 Source To Win
📍 Chennai
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