AR Caller in Medical Billing KPO Job Description Template

As an AR Caller in a Medical Billing KPO, you will be responsible for ensuring that medical claims are processed and paid on time. You will follow up with insurance companies, address and resolve any issues related to claims, and ensure adherence to billing regulations.

Responsibilities

  • Follow up with insurance companies for claim status and payment.
  • Resolve denied claims by investigating and appealing as necessary.
  • Review patient bills for accuracy and completeness.
  • Communicate with healthcare providers to update billing information.
  • Maintain and update patient collections files and reports.
  • Ensure compliance with regulatory standards and company policies.

Qualifications

  • High school diploma or equivalent; associate's degree preferred.
  • Minimum 1-2 years of experience in medical billing and collections.
  • Familiarity with healthcare billing regulations and terminology.
  • Strong analytical and problem-solving skills.
  • Excellent verbal and written communication skills.

Skills

  • Healthcare billing
  • Claims resolution
  • Denials management
  • Insurance follow-up
  • Patient billing
  • Communication
  • Attention to detail
  • Regulatory compliance

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Frequently Asked Questions

An AR (Accounts Receivable) Caller in a Medical Billing KPO is responsible for handling and resolving payment issues on medical insurance claims. They contact insurance companies to verify claim details, clarify denials, and ensure proper cash flow. They play a key role in managing healthcare providers' revenue cycles by following up on outstanding claims and appeals.

To become an AR Caller in Medical Billing, candidates typically need a high school diploma or equivalent, though some employers may prefer an associate degree or related certification. Excellent communication and negotiation skills are essential, as well as proficiency in medical billing software. Experience in healthcare or finance can greatly enhance job prospects.

The average salary for an AR Caller in a Medical Billing KPO can vary based on location, experience, and company size. Generally, an entry-level AR Caller might start with a competitive salary which can increase with experience and advanced skills. Factors such as certifications or specialized knowledge in medical billing can also influence earnings.

To qualify for an AR Caller role in Medical Billing, candidates should possess strong analytical and communication skills. A high school diploma is typically required, and post-secondary education in finance or healthcare is beneficial. Familiarity with medical billing processes, codes, and insurance guidelines is essential for this role.

An AR Caller in Medical Billing requires skills such as attention to detail, problem-solving, and effective communication. Responsibilities include contacting insurance companies for claim status, resolving denials, following up on unpaid claims, and maintaining accurate records. Proficiency in medical billing software and understanding healthcare regulations are also crucial.