Key Responsibilities :-

Follow up with US insurance companies regarding outstanding and unpaid claims.

- Contact insurance payers through phone and online portals to check claim status.
- Analyze EOBs, ERAs, claim status, denials, rejections, and underpayments.
- Identify the reason for claim denials and take appropriate action for resolution.
- Work on AR aging and prioritize claims based on aging and outstanding balances.
- Submit corrected claims, reconsiderations, appeals, and required documentation when applicable.
- Verify patient eligibility and insurance benefits when required.
- Document all payer conversations and claim updates accurately in the billing system.
- Maintain detailed follow-up notes, including reference numbers, call dates, payer responses, and next follow-up dates.
- Coordinate with the billing, coding, and payment posting teams to resolve claim issues.
- Escalate complex claims and payer-related issues to the appropriate team.
- Meet daily productivity, quality,



and collection targets.
- Ensure compliance with HIPAA and company policies while handling patient information.
- Required SkillsGood understanding of the US Healthcare Revenue Cycle Management (RCM) process.
- Knowledge of AR Follow-Up, Denial Management, and Claims Processing.
- Familiarity with Medicare, Medicaid, Commercial, and Managed Care payers.
- Knowledge of common US insurance portals such as Availity and payer-specific portals is preferred.
- Good knowledge of EOB, ERA, CPT, ICD-10, claim forms, denial codes, and payer remark codes.
- Excellent verbal and written communication skills.
- Valuable analytical and problem-solving abilities.
- Ability to handle payer calls professionally and confidently.
- Good typing and computer skills.
- Ability to work independently as well as in a team.

📌 Healthcare AR Caller (Ahmedabad)
🏢 IHR Solutions
📍 Ahmedabad