11 Oct
|
Artech
|
Hyderabad
Position Title - AR Caller
Location - Hyderabad
Shift Timing - Split Shifts
:
Job Summary:
We are looking for an experienced AR Caller with hands-on experience in US Healthcare Credentialing and Medical Billing/RCM . The candidate will be responsible for following up on outstanding insurance claims, resolving denials and payment issues, and supporting provider credentialing activities with insurance companies and healthcare networks.
Key Responsibilities:
- Perform AR calling with US insurance companies regarding outstanding claims and payments.
- Follow up on denied, rejected, underpaid and unpaid claims.
- Investigate claim status, eligibility, authorization and payment discrepancies.
- Identify denial reasons and coordinate for appropriate resolution.
- Maintain accurate documentation of calls, claim status and follow-up actions.
- Handle provider credentialing and re-credentialing processes with insurance payers.
- Work on payer enrollment, provider applications and credentialing documentation.
- Follow up with insurance companies regarding credentialing/enrollment status .
- Maintain provider information and ensure required documents are complete and up to date.
- Coordinate with internal teams/providers to resolve missing or incorrect credentialing information.
- Ensure timely follow-up on pending credentialing applications and payer requests.
- Meet defined productivity, quality and collection/AR targets.
Required Skills:
- 3+ years of experience in US Healthcare AR Calling / RCM .
- Hands-on experience in US Healthcare Credentialing / Provider Enrollment .
- Good understanding of US healthcare insurance and payer processes.
- Knowledge of claims, denials, EOB/ERA and payment posting concepts.
- Strong verbal and written communication skills.
- Comfortable communicating with US insurance representatives.
- Valuable follow-up, analytical and documentation skills.
- Ability to work independently in a target-driven environment
📌 AR Caller (Hyderabad)
🏢 Artech
📍 Hyderabad