AR Caller Career Growth & Learning Opportunity 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 Claim Follow/-Up & Payer Communication/: Make outgoing calls to US healthcare insurance payers to look into medical claims that are still pending, denied, or only partially paid. EOB & ERA Analysis and Denial Management/: Examine Electronic Remittance Advice and Explanation of Perks /(EOB/) to identify the underlying reasons for claim denials and take prompt corrective action. Drafting formal claim appeal letters, gathering supporting medical records, correcting billing information, and resubmitting claims thru clearinghouses or payer web portals within the allotted time frame are all part of the appeals process. HIPAA Compliance & Patient Data Protection/:



During all payer interactions, strict adherence to the Health Insurance Portability and Accountability Act regulations, Protected Health Information security guidelines, and corporate compliance protocols is required. Billing Software Updates & Account Disposition/: Add accurate disposition notes, payment status information, anticipated payment dates, and appeal tracking IDs to medical practice management software and EHR systems. Required Skills/: US Healthcare Insurance & RCM Knowledge/: Comprehensive knowledge of US healthcare billing cycles, payer regulations, clearinghouse procedures, timely filing deadlines, and benefits coordination /(COB/). EOB/ERA Interpretation & Denial Resolution/: Excellent analytical skills to analyse EOB/ERA codes, comprehend denial reason codes /(CARC/RARC/), and implement suitable appeal tactics. Voice Communication & Payer Negotiation/: To negotiate claim re/

📌 AR Caller Career Growth (Chennai)
🏢 GS Infotech
📍 Chennai