- Perform end-to-end follow-up on insurance claims with US healthcare payers.
- Handle denied, underpaid, and pending claims by analyzing the root cause and taking corrective actions.
- Work on various insurance aging reports and maintain call logs with accurate documentation.
- Contact insurance companies to get claim status and initiate necessary actions (appeals, corrections, resubmissions).
- Understand and interpret Explanation of Advantages (EOBs) and denial codes.
- Collaborate with internal teams to resolve billing discrepancies and ensure timely claim resolution.
- Maintain productivity and quality standards as per SLA requirements.
- Stay updated on industry trends and payer-specific guidelines.
Key Skills Required:
- An ability to identify and address common denial reasons and resolve rejections efficiently.
- Good understanding of the healthcare revenue cycle,
including eligibility, charge entry, billing, AR follow-up, and payment posting.
- Capable of analyzing account status, identifying resolution pathways, and working with minimal supervision.
- Strong verbal and written English communication to interact with insurance representatives and internal teams effectively.
Mandatory Skills:
- Minimum of 1 year of experience in US healthcare Insurance AR calling.
- Familiarity with payer policies, denial codes, and claim resolution workflows.
- Proficiency in working with RCM software and tools.
- Attention to detail and ability to work in a fast-paced environment.
Eligibility Criteria:
- Graduate in any discipline.
- Must be willing to work night shifts from the office in Trichy.
- Prior experience in AR Calling is preferred.
Perks & Benefits:
- Two Way Cab Facilities.
- Attractive Incentives.