AR Callers Job Description Template

AR Callers are integral members of the revenue cycle management team, playing a critical role in ensuring that unpaid insurance claims are followed up on and resolved efficiently. They interact directly with insurance providers and customers to gather necessary information, verify insurance coverage, and resolve discrepancies.

Responsibilities

  • Handle incoming and outgoing calls to insurance companies regarding unpaid claims.
  • Verify and update patient insurance details in the system.
  • Follow up on overdue claims and ensure timely resolutions.
  • Respond to inquiries from insurance companies and patients regarding billing issues.
  • Document all interactions and actions taken in relevant systems.
  • Collaborate with billing and coding teams to resolve claim discrepancies.
  • Monitor the status of outstanding claims and escalate issues as necessary.

Qualifications

  • High school diploma or equivalent; college degree preferred.
  • Previous experience in a customer service or healthcare billing role.
  • Strong understanding of medical billing and insurance claim processes.
  • Excellent communication and interpersonal skills.
  • Attention to detail and ability to multitask.
  • Proficiency with healthcare billing software and MS Office applications.

Skills

  • Medical Billing
  • Insurance Verification
  • Customer Service
  • Communication
  • Data Entry
  • Problem-solving
  • Microsoft Office Suite
  • Time Management
  • HIPAA Compliance

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Frequently Asked Questions

An AR Caller, or Accounts Receivable Caller, in healthcare is responsible for managing and reviewing medical claims for collection. They contact insurance companies to verify reasons for denied or unpaid claims, resolve discrepancies, and ensure timely payment. By communicating with insurers and understanding medical billing codes, they help healthcare providers manage their revenue cycles effectively.

To become an AR Caller, one typically needs a high school diploma or equivalent, along with prior experience in medical billing or customer service. Familiarity with healthcare regulations, billing software, and strong communication skills are crucial. Some employers may prefer candidates with an associate's degree or certification in medical coding or billing for a competitive edge.

The average salary for an AR Caller varies based on location, experience, and the healthcare facility. Typically, an AR Caller role offers compensation that includes base pay along with performance-based bonuses. Individuals with extensive experience or advanced certifications tend to earn higher salaries. It is advised to research regional salaries for more precise information.

Qualifications for an AR Caller include a high school diploma or equivalent, experience in healthcare billing, and proficiency in medical terminology. Strong communication skills, attention to detail, and familiarity with billing software are also essential. Some employers may require additional training or certifications in medical billing or coding to ensure candidates are well-equipped for the role.

An AR Caller must possess skills such as effective communication, attention to detail, problem-solving, and proficiency in billing software. Key responsibilities include analyzing denied claims, resolving billing issues, communicating with insurance companies, and maintaining documentation. Strong organizational abilities are essential to manage claim follow-ups and optimize healthcare providers’ revenue cycles.