Role & responsibilities

Roles & Responsibilities AR Caller | Medical Claims Analyst

- Handle Accounts Receivable (AR) follow-up for outstanding healthcare claims.
- Work on Hospital Billing and Physician/Professional Billing claims.
- Follow up with insurance payers regarding denied, rejected, unpaid, and underpaid claims.
- Perform payer calling to verify claim status, payment details, denial reasons, and resolution.
- Review EOB/ERA, CPT/HCPCS, denial and adjustment codes to identify claim issues.
- Work on UB-04 institutional claims and CMS-1500 professional claims.
- Perform insurance eligibility and benefits verification as required.
- Analyze denial root causes and take appropriate action for claim resolution and payment recovery.
- Handle insurance portals for claim status,



documentation, eligibility, and follow-up activities.
- Maintain accurate records of AR activities and ensure timely follow-up on aging accounts.
- Coordinate with internal teams and insurance companies to resolve billing and claim-related issues.
- Meet assigned productivity, quality, accuracy, and turnaround-time targets.

Key Skills: Medical Billing, Hospital Billing, Physician Billing, AR Follow-up, Medical Claims, Denial Management, Payer Calling, EOB/ERA, UB-04, CMS-1500, CPT/HCPCS, Insurance Eligibility & Advantages.

📌 AR Caller (Chennai)
🏢 Orcapod Consulting Services
📍 Chennai