Job Title: AR Caller (Accounts Receivable Executive) Hospital Billing(UB04 Claim Form)

Experience: 1 - 5 Years

Shift: EST Shift

Location: Chennai

Transport: Two-way cab facility provided

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We are hiring AR Callers for an International Voice Process. The candidate will be responsible for handling Accounts Receivable functions, including follow-ups with insurance companies, resolving claim-related issues, and managing the complete denial lifecycle.

Key Responsibilities:

- Aged AR Prioritization: Analyze hospital aged trial balance reports to identify and prioritize outstanding institutional claims past 30, 60, or 90+ days.
- Insurance Follow-Up: Execute daily outbound calls to Medicare, Medicaid, Managed Care, and Commercial insurance carriers to resolve outstanding or unpaid claims.
- Portal & Clearinghouse Tracking: Navigate electronic clearinghouses and online insurance portals to verify eligibility, check real-time claim status, and retrieve Remittance Advices (RAs/EOBs)
- UB-04 Form Validation: Review and correct specific institutional fields on the UB-04 (CMS-1450) form, including Type of Bill (FL 04), Revenue Codes (FL 42), HCPCS/CPT codes (FL 44), and Service Units (FL 46).
- Denial Remediation: Identify root causes for complex hospital denials, such as DRG (Diagnosis-Related Group) mismatches, medical necessity failures, missing pre-authorizations,



and overlapping/duplicate claims.
- Appeals & Document Management: Draft formal appeal letters and compile necessary medical documentation (operative reports, clinical notes) for submission to insurance payers.
- Corrected Claim Submission: Route corrected claims back through the hospital billing software or clearinghouse after resolving data discrepancies.
- Account Action Logging: Document accurate, clear, and actionable notes within the hospitals Electronic Health Record (EHR) system, capturing representative details, call reference numbers, denial codes, and expected payment timelines.
- Trend Analysis: Flag recurring payer rejection trends or systematic billing issues to supervisors to help improve the hospital's Clean Claim Rate (CCR).
- HIPAA Compliance: Maintain strict adherence to HIPAA regulations, data privacy, and hospital compliance guidelines during all voice and electronic interactions.

Required Skills:

- Good communication skills (English)
- Experience in AR calling / medical billing
- Strong understanding of end-to-end denial management
- Knowledge of healthcare revenue cycle management

Preferred Skills:

- Experience with Ub04 Claim Forms

Contact Details:

HR: Rishikumar

Phone:(phone hidden)/[email protected]

📌 Hiring For AR caller (Hospital Billing) (Chennai)
🏢 Q Way Technologies
📍 Chennai