AR Caller Sales Cycle Tracking Expertise Candidate Application/: Full Name/: Contact Number/: Email Address/: Current Location/: Position Applied For/: Qualification/: Year of Passout/: Candidate Category/: Fresher / Experienced Willingness to Relocate/: Yes / No Total Years of Experience/: /(If applicable/) Current/Last Drawn Salary /(Monthly/Annual/)/: Notice Period/: Job Description/: Responsibilities/: Insurance Follow/-Up & Outstanding Claim Resolution/: To find out the status of outstanding, outdated, or unpaid medical claims, make daily outbound calls and use web portals to verify with commercial and government insurance payers. Claims Appeals & Denial Management/: Examine denial codes, underpaid line items, and claim rejections; create official appeal letters with accompanying medical records to reverse incorrect payer rejections. EOB/ERA Analysis & Rejection Troubleshooting/: Examine Electronic Remittance Advices and Explanation of Advantages to confirm accurate payment amounts, contractual write/-offs, copays, deductibles, and co/-insurance allocations.



Rebilling and Claim Adjustments/: Correct and resubmit clean claims to payers using electronic clearinghouses or paper forms after identifying coding errors, missing modifiers, inaccurate patient demographics, or out/-of/-date insurance eligibility information. Required Skills/: US Healthcare Revenue Cycle & AR Follow/-Up Mastery/: In/-depth practical understanding of the whole US Revenue Cycle Management /(RCM/) process, including insurer follow/-up procedures, clearinghouse modifications, EOB/ERA interpretation, and claim submission. Insurance Payer Rules & Denial Code Literacy/: Extensive knowledge of standard Adjustment Reason Codes /(CARCs/) and Remittance Advice Remark Codes /(RARCs/), as well as key US commercial and government insurance regulations /(Medicare, Medicaid, BCBS, UHC, Aetna, and Cigna/). Payer Phone Communication & Negotiation/: To successfully negotiate with insurance claims agents and s

📌 AR Caller Sales Cycle Tracking Expertise (Chennai)
🏢 GS Infotech
📍 Chennai