1. THE POSITION

Accounts Receivable Caller AR Caller monitors the receivables to ensure that they are well within control. The analyst should keep in mind that the main objective of medical accounts receivables is to maximize collections and provide resolution to the aged AR. They analyze the notes; understand the stage the account lies at and work towards resolution or collection per status.
1. JOB RESPONIBILITY

Responsibilities: a. Analysis responsibilities:
- Calling Insurance companies on behalf of doctors/physicians and follow up on outstanding accounts receivable.
- Prioritize the pending claims for calling from the ageing bucket as per strategy defined.
- Analyze and execute corrective actions to the claims company (payers) for payment of outstanding claims.
- Review claims as per status from insurance and transfers outstanding balance to patient if decision is termed patient responsibility.
- Review provider claims that have not been billed, in process, pending for additional information, paid and /or denied by Insurance companies.
- Review claims for payments posting coding denials, additional information and provider assistance (with accurate route to appropriate department for next action).
- In case the claim is already paid then request insurance company for explanation of benefits to be mailed/faxed.
- Notating all accounts worked accurately to ease off further actions required.
- Abide to laws governing process and applicable rules for confidentiality and HIPAA compliance.
- Escalate difficult collection situation to management in a timely manner.
- Meeting daily/weekly and monthly quality and production targets set for an individual.
- Performs other related duties, which may be inclusive, but not listed in the

b. Analysis Documentation:
- Review accounts for previous documentation, actions taken, medical history for call preparation.




- To check the appropriateness of the insurance information given by the patient if it is inadequate or unclear.
- Responsible for ensuring the integrity of all documented notes that are contained in the patient account records, including, at time of analysis, the responsibility to correct or clarify any previously documented information.

c. Identifying Aging reasons and trends:
- Document notes with the reason for inappropriate or no payment received.
- Research and notify supervisor of trends in Accounts receivables.

d. Performance Standards:
- Accounts will be timely and accurately analyzed within established departmental quality guidelines, applying all appropriate policies and procedures.
- The number of accounts analyzed will meet or exceed departmental productivity standards.

e. Client Policy and Procedure:
- Maintain an up-to-date personal folder containing updated training memos; policy e-mails; payer updates; minutes and handouts from monthly meetings; letter templates with file addresses.
- Consistently apply current policy and procedure to all analysis.
- Advise management when additional policies may be needed to support analysis activities.
- Maintain strict confidentiality in accordance with HIPAA regulations and Company policy.
- Any patients private health information (PHI) must not be divulged on any account except to payers that need the information to process the claim for payment.

1. CANDIDATE PROFILE

- Minimum 18 months of work experience in accounts receivable with relevant attributes and skills
- Good Typing speed and keyboard skills
- Valuable reasoning and analytical skills
- Colleagues should have Experience in ATHENA software. (Mandatory)
- Team player
- Data analysis skills
- Good Root Cause Analysis capabilities
- Excel and MS Office skills
- Excellent Vocal Communication
- Adaptability to work in different shifts, teams and roles
- Disciplined and systematic approach to daily work

Contact HR - Naveen / (phone hidden) Mail to - [email protected]

📌 Hiring AR Caller / Sr AR Caller (Chennai)
🏢 Savista
📍 Chennai