Perform timely follow-up on outstanding insurance claims for US hospital billing accounts.
Contact insurance companies to check claim status, resolve claim issues, and secure appropriate reimbursements.
Analyze and resolve denials, rejections, underpayments, and unpaid claims.
Identify root causes of claim denials and take corrective action.
Work on aging reports and prioritize high-value accounts.
Document all call outcomes and follow-up activities accurately in the EPIC PMS.
Ensure compliance with client guidelines and HIPAA regulations.
Meet daily productivity and quality targets.
Mandatory Requirements
Minimum 1 year of experience in US Hospital Billing AR Calling.
Hands-on experience working on EPIC PMS (Mandatory).
Experience in Inpatient and/or Outpatient Hospital Billing.
Solid understanding of:
Denial Management
Appeals and Reconsiderations
Insurance Verification
Claim Status Follow-up
Payment Posting Concepts
Knowledge of US insurance payers such as Medicare, Medicaid, BCBS, Aetna, Cigna, UHC, Humana, etc.
Excellent communication skills with a neutral accent.
Willingness to work in the US Night Shift.
Preferred Skills
Ability to handle high volumes of AR accounts.
Robust analytical and problem-solving skills.
Valuable understanding of hospital billing workflows and revenue cycle management.
Experience working with productivity and quality KPIs.