21 Sep
|
Credense Medical Billing
|
Hyderabad
21 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.
Valuable 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