03 Sep
|
Human Xpert India
|
Chennai
03 Sep
Human Xpert India
Chennai
Job Summary The AR Caller / AR Analyst is responsible for working outstanding insurance claims to resolution through payer calls, portal research, and root-cause denial analysis, directly driving down Days in AR and improving collection outcomes.
Key Responsibilities
- Work assigned AR aging buckets (30/60/90/120+ days) via payer calls or portals to determine claim status
- Analyze denial reason codes (CARC/RARC) and take corrective action corrected claims, appeals, or reprocessing requests
- Document call notes and actions clearly in the billing system to maintain a complete audit trail
- Identify denial trends — authorization, eligibility, medical necessity, timely filing, coding/bundling — and escalate systemic issues
- Prepare and submit appeals/reconsiderations with the required clinical and billing documentation
- Meet daily and weekly productivity targets for claims worked and dollars collected
- Coordinate with coding, charge entry, and prior-authorization teams to resolve recurring root causes
- Provide clear status updates for client update calls and reports
Required Qualifications & Skills
- Strong knowledge of denial codes, payer policies, and the appeals process
- Excellent verbal communication for payer calls and solid analytical skills
- Familiarity with clearinghouses and payer portals (Availity, NaviNet, payer-specific portals)
- Willingness and ability to work US shift hours
📌 AR Analyst- RCM Medical Billing (Chennai)
🏢 Human Xpert India
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