- Job Description: Perform outbound calls to insurance companies, healthcare providers, and TPAs to follow up on pending or denied claims.
- Handle accounts receivable (AR) activities in the Provider Side Vertical or Payer Collections process.
- Review and analyze outstanding claims, identify issues, and take appropriate action to ensure timely payment.
- Accurately document all call interactions and claim statuses in the system.
- Resolve claim rejections, denials, and payment discrepancies by coordinating with insurance representatives and internal teams.
- Maintain productivity and quality standards as per company and client requirements.
- Provide clear communication and updates on claim progress to management.
- Ensure compliance with HIPAA and organizational policies during all communications.
- Exhibit flexibility and a proactive approach in handling multiple tasks and priorities
Responsibilities: The candidate should have experience in US Healthcare Calling process like AR Caller in Provider Side Vertical or AR Caller in Payer Collections.
- Minimum 1-4 years of Experience in AR callercollections or Patient calling.
The candidate should be well versed in calling US Healthcare providers, insurance companies/other Third Party Administrators.
The role is completely target oriented on the number of calls made on a daily basis.
- Should have positive communication with neutral accent preferred. Follow every aspect of SOP without fail
- Complete received Audits with Quality
- To achieve Quality and production target.
- Follow project related protocols and instructions.
- Update all the logs like productivity, Clarification log, and any other logs applicable on a daily basis.
- Check with Manager /TL in case of clarifications
- All emails from Manager should be answered promptly without fail
- Ensure compliance of entire team for HIPAA, OIG.
- Conduct all job functions and responsibilities in accordance with all company Compliance, Information Security and Regulato
📌 Executive – AR specialty (Chennai)
🏢 EXL Service
📍 Chennai
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