- Handle accounts receivable (AR) follow-ups for US healthcare providers.
- Contact insurance companies to check claim status and follow up on outstanding claims.
- Analyze denied and rejected claims and identify the reasons for denial.
- Work on claim denials and take appropriate action for claim resolution.
- Follow up with insurance companies regarding pending payments and underpaid claims.
- Review EOBs (Explanation of Benefits) and ERAs (Electronic Remittance Advice) to identify payment discrepancies.
- Submit corrected claims and appeals based on insurance guidelines.
- Verify patient eligibility, advantages, and authorization details when required.
- Maintain accurate notes and update claim status in the billing system.
- Meet daily productivity and quality targets.
- Coordinate with the US healthcare billing team to resolve outstanding AR issues.
- Ensure timely follow-up to reduce the accounts receivable (AR) aging.
Required Skills
- Good communication skills.
- Basic knowledge of US healthcare medical billing.
- Knowledge of CPT, ICD-10, and HCPCS codes.
- Understanding of Medicare, Medicaid, UHC, Aetna, Cigna, and BCBS.
- Knowledge of claim denials, rejections, and appeals.
- Good analytical and problem-solving skills.
- Ability to work night shifts according to US business hours.
Resume Profile Summary A dedicated Medical Billing AR Caller with experience in US healthcare revenue cycle management (RCM). Skilled in insurance follow-ups, claim status verification, denial management, payment discrepancies, and accounts receivable resolution. Good knowledge of EOB/ERA analysis, claim corrections, and insurance guidelines. Capable of meeting productivity targets while maintaining accuracy and quality. Pay: ₹15,000.00 - ₹30,000.00 per month
Work Location: In person
📌 AR Caller (Avadi)
🏢 Excel Medical Billing Services
📍 Avadi
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