20 Sep
|
Credense Medical Billing
|
Hyderabad
20 Sep
Credense Medical Billing
Hyderabad
Key Responsibilities
- Follow up with insurance companies regarding unpaid, underpaid, and denied claims.
- Make outbound calls to insurance providers to check claim status and payment details.
- Analyze AR aging reports and prioritize outstanding accounts.
- Identify and resolve claim denials, rejections, and payment discrepancies.
- Work on insurance appeals and coordinate with internal teams for required documentation.
- Maintain accurate records of payer conversations, claim status, and follow-up actions.
- Meet daily productivity and quality targets.
- Escalate complex claims and recurring issues to the appropriate team.
- Ensure timely follow-up on assigned accounts to minimize outstanding AR.
- Maintain confidentiality of patient and billing information.
- Required Skills
- 1- 3 years of experience in US Healthcare AR Calling / Medical Billing.
- Valuable knowledge of the US healthcare insurance and billing process.
- Familiarity with Medicare, Medicaid, Commercial Insurance, and other payers.
- Knowledge of claim status, denials, EOB/ERA, CPT, ICD, and basic medical billing concepts.
- Excellent verbal and written communication skills.
- Good negotiation, analytical, and problem-solving abilities.
- Comfortable working with MS Office and billing/AR software.
- Ability to work independently and meet targets.
- Preferred Qualifications
- Any graduate degree or equivalent qualification.
- Experience with US healthcare RCM/BPO processes is preferred.
- Willingness to work in US/night shifts.
📌 AR Caller (Hyderabad)
🏢 Credense Medical Billing
📍 Hyderabad