Responsibilities
- Make outbound calls to insurance companies regarding unpaid or denied claims
- Verify patient insurance coverage and eligibility
- Handle and resolve discrepancies in billing and payment
- Document all communications and actions taken in the system
- Work collaboratively with billing staff to ensure accurate and timely submission of claims
- Maintain up-to-date knowledge of insurance policies and procedures
Qualifications
- High school diploma or equivalent
- Previous experience in medical billing or insurance follow-up
- Strong understanding of healthcare billing processes
- Excellent communication skills
- Detail-oriented and organized
- Ability to work independently and as part of a team
Skills
- Medical billing software
- Microsoft Excel
- Customer service
- Problem-solving
- Data entry
- HIPAA compliance
Frequently Asked Questions
An AR Caller, or Accounts Receivable Caller, plays a crucial role in the healthcare industry by managing outstanding balances for medical providers. They engage with insurance companies to follow up on claims, resolve denials, and secure payment for services rendered. AR Callers ensure the accuracy of billing information and may also work with patients to clarify payment options and resolve discrepancies. Their work helps maintain financial sustainability for healthcare facilities.
To become an AR Caller in medical billing, one typically needs a high school diploma or equivalent, although some positions may require post-secondary education in healthcare administration or medical billing. Strong communication skills and a keen eye for detail are essential. Prior experience in customer service or a related field is often beneficial. Candidates may also seek certification in medical billing and coding to enhance their qualifications and understanding of healthcare reimbursement processes.
The average salary for an AR Caller varies based on factors such as location, experience, and the size of the employer. Typically, AR Callers earn a competitive wage reflective of the specialized skills required in medical billing and collections. Salaries can vary widely, so prospective employees are encouraged to research industry standards in their geographical area and consider additional benefits that may accompany the position, such as healthcare and retirement plans.
Qualifications for an AR Caller role generally include a high school diploma or GED, with many employers preferring candidates with further education in medical billing or related fields. Familiarity with medical terminology and billing systems is often required, alongside strong analytical and problem-solving skills. Proficiency in computer software related to billing and patient management is essential, as well as the ability to communicate effectively with insurance companies and patients.
An AR Caller must possess excellent communication and negotiation skills to effectively interact with insurance companies and resolve claim issues. They should be detail-oriented to meticulously review billing information and identify errors. Responsibilities include timely claim follow-up, resolving discrepancies, and maintaining accurate records of interactions and payments. Familiarity with healthcare billing software and a basic understanding of insurance processes are also vital in managing healthcare accounts receivable efficiently.