14 Aug
|
Bright Health Alliance
|
Sahibzada Ajit Singh Nagar
14 Aug
Bright Health Alliance
Sahibzada Ajit Singh Nagar
Company: Bright Health Alliance (BHA)
Location: India
Employment Type: Full time
Experience: 2 Years
Department: Medical Billing / Revenue Cycle Management
Shift: US Healthcare / Night Shift
About Bright Health Alliance
Bright Health Alliance (BHA) is a US-focused healthcare Revenue Cycle Management company providing end-to-end medical billing, AR management, denial management, credentialing, and healthcare support services to physicians and healthcare organizations.
We are looking for an experienced AR Caller who can independently handle US healthcare accounts receivable and work closely with insurance payers to resolve outstanding claims and accelerate collections.
Key Responsibilities
- Make outbound calls to US insurance companies regarding outstanding medical claims.
- Follow up on unpaid, underpaid, denied, and rejected claims.
- Verify claim status, payment details, denial reasons, and processing timelines.
- Identify and resolve claim issues related to eligibility, authorization, coding, documentation, timely filing, and payer requirements.
- Contact insurance payer representatives and document call reference numbers and outcomes.
- Initiate reconsiderations, corrected claims, appeals, and other appropriate follow-up actions.
- Review AR aging reports and prioritize accounts based on age, balance, and payer requirements.
- Maintain accurate and detailed notes in the billing system.
- Follow up on pending claims within defined timelines.
- Escalate complex or high-value accounts to the appropriate team member.
- Meet daily productivity and quality targets.
- Maintain confidentiality of patient and client information and follow HIPAA-related requirements.
Required Skills & Qualifications
- Minimum 2 years of experience in US Healthcare AR Calling / Medical Billing.
- Strong understanding of US healthcare insurance and medical billing processes.
- Experience working with Medicare, Medicaid, and commercial insurance payers.
- Good knowledge of claim status, denials, appeals, EOB/ERA, and AR aging.
- Strong verbal communication and active listening skills.
- Comfortable communicating with US insurance representatives.
- Valuable analytical and problem-solving abilities.
- Strong documentation and follow-up skills.
- Ability to work independently and meet daily targets.
- Basic knowledge of medical terminology, CPT, ICD-10, and HCPCS is preferred.
- Experience with medical billing software/EHR systems is an advantage.
Preferred Experience
Experience with one or more of the following is a plus:
- Physician Billing
- Hospital Billing
- DME/HME Billing
- Mental Health
- Physical Therapy
- Pain Management
- Primary Care / Internal Medicine
- Chiropractic
- Urgent Care
What We Offer
- Competitive salary based on experience and skills.
- Opportunity to work with US healthcare clients.
- Professional growth and career advancement opportunities.
- Performance-based incentives.
- Training and exposure to end-to-end US healthcare RCM.
- Supportive and professional work workplace.
Pay: ₹20,000.00 - ₹30,000.00 per month
Benefits
- Paid sick time
Work Location: In person
📌 AR Caller – Medical Billing & Revenue Cycle Management (Sahibzada Ajit Singh Nagar)
🏢 Bright Health Alliance
📍 Sahibzada Ajit Singh Nagar