Position: AR Caller / AR Executive – US Healthcare
Experience: 1–5 Years
Work Mode: Work from Office
Shift: US Shift / Night Shift
Industry: US Healthcare / Medical Billing/Physician Billing
Key Responsibilities
Contact US insurance companies through calls and payer portals to check claim status and payment details.
Follow up on outstanding, unpaid, pending, denied, rejected, and underpaid claims.
Review and analyze EOBs (Explanation of Perks) and ERAs (Electronic Remittance Advice).
Identify the reason for claim denials and determine the appropriate resolution.
Work on common denials such as:
Timely Filing
No Authorization
Medical Necessity
Non-Covered Services
Duplicate Claims
Coordination of Perks (COB)
Eligibility-related issues
Coding/billing-related issues
Initiate appropriate corrective actions, including claim correction, resubmission, reconsideration, and appeals.
Follow up on appeals and documentation submitted to insurance companies.
Review and work on AR aging reports and prioritize accounts based on aging, balance, and claim status.
Maintain accurate and detailed notes for every payer interaction and follow-up.
Coordinate with billing, coding, payment posting, and other internal teams for claim resolution.
Escalate complex or unresolved claims to the appropriate team/client.
Ensure claims are followed up within defined turnaround times.
Meet assigned daily productivity, quality, collection, and resolution targets.
Maintain compliance with HIPAA, client SOPs, payer guidelines, and company policies.
Pay: ₹15,000.00 - ₹450,000.00 per month
Advantages:
Health insurance
Provident Fund
Work Location: In person
📌 Ar Caller Janakpuri
🏢 OnSure Health
📍 Janakpuri
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