04 Nov
|
Streamlinemd
|
Chennai
04 Nov
Streamlinemd
Chennai
Job Title: AR Caller/Sr. AR Caller
Reports To: Team Lead
Shift: 5:30PM - 2:30AM
Location: Chennai
Company Overview: StreamlineMD provides Revenue Cycle Software and Service Solutions to Radiology and Interventional Specialists. Our Mission is to Improve Healthcare for All Americans. Our Core Values that guide us on our mission are Service Quality, Teamwork, Accountability, Efficiency, Adaptability, Communication, and Integrity.
Position Overview: The AR Caller is responsible for resolving denied and past-due claims by analyzing claims history, reaching out to payers via digital or telephone and taking appropriate action to get them paid. This role supports root cause identification, escalates recurring issues, and collaborates across departments to improve reimbursement outcomes for radiology and interventional practices.
Essential Duties and Responsibilities:
- Review and analyse visits that have been allocated for follow-up and resolution.
- Understand and interpret the full account based on past notes, transactions, Explanation of Benefits (EOB), Electronic Remittance Advice (ERA), and denial codes.
- Understand the issue and possible resolution within the system, clearinghouse or payer portal.
- Take appropriate action as required based on solutions found and capture clear and concise notes.
- Call insurance company where necessary, understand the issue and possible resolution and take appropriate action and capture explicit and concise notes.
- Meet Daily productivity and Quality targets related to claim resolution.
- Coordinate with internal teams (billing, coding, calling, payment posting) to address account issues.
- Stay updated with payer guidelines, HIPAA regulations, and CMS industry updates.
- Identify patterns related to insurance denials and implement cross-functional resolutions strategies to stem problems at the root-cause level.
Qualifications:
- 2 to 4 years of experience in A/R follow-up (US healthcare) with a graduation.
- Good knowledge of insurance portals and claim status tools (e.g., Availity, Navinet, Optum websites).
- Experience with Medicare, Medicaid, and commercial payer follow-up. Knowledge of healthcare reimbursement, denials and appeals.
- Excellent critical thinking and problem-solving skills.
- Results oriented, customer centric, team player.
- Strong verbal & written communication skills.
- Proficiency in MS Office tools.
- Ability to work independently and manage time effectively.
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