18 Sep
|
Pena4 Tech Solutions
|
India
18 Sep
Pena4 Tech Solutions
India
Job Summary
AR Follow-Up Account Resolution. Perform outbound calls to insurance payers to follow up on outstanding claims. Work assigned AR inventory and prioritize accounts based on aging and client guidelines. Analyze claim status and resolve routine denials, underpayments, and rejections. Initiate claim corrections, re-submissions, reconsiderations, or appeals as required. Ensure timely resolution to prevent timely filing issues and revenue loss.
Responsibilities
Perform outbound calls to insurance payers to follow up on outstanding claims.
Work assigned AR inventory and prioritize accounts based on aging and client guidelines.
Analyze claim status and resolve routine denials, underpayments, and rejections.
Initiate claim corrections, re-submissions, reconsiderations, or appeals as required.
Ensure timely resolution to prevent timely filing issues and revenue loss.
Documentation & Compliance
Accurately document all call outcomes, claim actions, and next steps in the billing system.
Maintain detailed and compliant notes as per client and payer requirements.
Adhere to HIPAA regulations and maintain confidentiality of patient information.
Follow client-specific SOPs and process updates.
Productivity & Quality Standards
Meet daily, weekly, and monthly productivity targets.
Maintain quality benchmarks and minimize documentation or processing errors.
Participate in internal quality audits and implement feedback for improvement.
Ensure accuracy before claim submission or escalation.
Team Collaboration & Escalation
Escalate complex, high-value, or unresolved accounts to the Senior AR Caller or Team Lead.
Participate in team meetings, huddles, and training sessions.
Stay updated with payer changes, process updates, and client communications.
Disclaimer: This job posting has been aggregated from external source. Role details, content, and availability are subject to change. Applicants are advised to confirm the latest information directly on the company website before applying.
📌 Sr Ar Caller Hyderabad (India)
🏢 Pena4 Tech Solutions
📍 India