Roles and Responsibilities:
Perform end-to-end follow-up on insurance claims with US healthcare payers.
Handle denied, underpaid, and pending claims by analyzing the root cause and taking corrective actions.
Work on various insurance aging reports and maintain call logs with accurate documentation.
Contact insurance companies to get claim status and initiate necessary actions (appeals, corrections, resubmissions).
Understand and interpret Explanation of Benefits (EOBs) and denial codes.
Collaborate with internal teams to resolve billing discrepancies and ensure timely claim resolution.
Maintain productivity and quality standards as per SLA requirements.
Stay updated on industry trends and payer-specific guidelines.
Key Skills Required:
An ability to identify and address common denial reasons and resolve rejections efficiently.
Valuable understanding of the healthcare revenue cycle,
including eligibility, charge entry, billing, AR follow-up, and payment posting.
Capable of analyzing account status, identifying resolution pathways, and working with minimal supervision.
Strong verbal and written English communication to interact with insurance representatives and internal teams effectively.
Mandatory Skills:
Minimum of 1 year of experience in US healthcare Insurance AR calling.
Familiarity with payer policies, denial codes, and claim resolution workflows.
Proficiency in working with RCM software and tools.
Attention to detail and ability to work in a rapid-paced setting.
Eligibility Criteria:
Graduate in any discipline.
Must be willing to work night shifts from the office in Trichy.
Prior experience in AR Calling is preferred.
Perks & Advantages:
Two Way Cab Facilities.
Attractive Incentives
📌 Senior Ar Caller Tiruchirappalli
🏢 Business Integrity Services
📍 Tiruchirappalli
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