Key Responsibilities
• Follow up with insurance companies on unpaid, denied, or underpaid claims.
• Review claim status through payer portals, IVR systems, and outbound calls.
• Analyze and resolve claim denials, rejections, and payment variances.
• File appeals and corrected claims as required.
• Perform AR follow-up for Hospital Billing and Physician Billing accounts.
• Document claim activity and updates accurately in billing systems.
• Review EOBs, ERA, and remittance advice to determine next actions.
• Prioritize high-value and aging AR accounts for follow-up.
• Coordinate with coding, billing, and client teams to resolve claim issues.
• Meet productivity, quality, and turnaround-time benchmarks.
• Ensure compliance with HIPAA and client-specific guidelines. Required Skills
• Experience in US Healthcare Revenue Cycle Management (RCM).
• Strong knowledge of AR Follow-up and Denial Management.
• Understanding of Hospital Billing and/or Physician Billing.
• Knowledge of claim appeals, payment posting, and insurance verification.
• Ability to interpret EOBs, ERA, and payer guidelines.
• Positive communication, analytical, and problem-solving skills.
• Proficiency in MS Excel and medical billing applications. Eligibility
• Any Graduate/10+2/10+3/ Diploma
• 1 to 5 years of experience in AR Calling, Hospital Billing, or Physician Billing. Contact – Sukanya @ (phone hidden) Email id –
[email protected]
📌 Immediate Hiring Hospital Billing (Bengaluru)
🏢 Getixhealth
📍 Bengaluru