AR - Sr AR Caller Job Description Template

The AR - Sr AR Caller will be responsible for handling complex accounts receivable tasks, including resolving claim issues, analyzing payment discrepancies, and communicating with insurance companies to ensure timely reimbursements. The role requires in-depth knowledge of healthcare billing and strong organizational skills.

Responsibilities

  • Manage and resolve complex accounts receivable issues.
  • Communicate with insurance companies to resolve claim denials and payment discrepancies.
  • Analyze and interpret EOBs (Explanation of Benefits) and other payment documents.
  • Follow up on unpaid claims and appeal denials when necessary.
  • Maintain accurate records of all interactions and transactions.
  • Ensure compliance with healthcare billing regulations.
  • Provide training and support to junior AR callers.
  • Prepare regular reports on AR status and progress.

Qualifications

  • Bachelor's degree in Healthcare Administration, Finance, or a related field.
  • Minimum of 3 years of experience in AR calling or healthcare billing.
  • Thorough understanding of healthcare insurance and reimbursement processes.
  • Excellent communication and negotiation skills.
  • Strong problem-solving abilities and attention to detail.
  • Proficiency in medical billing software and MS Office applications.

Skills

  • Medical billing
  • Claims resolution
  • Insurance verification
  • AR management
  • Analytical skills
  • Negotiation
  • Microsoft Excel
  • Medical billing software

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Frequently Asked Questions

An AR - Sr AR Caller is responsible for managing the accounts receivable process by effectively communicating with insurance companies and healthcare providers to secure payments for outstanding claims. They monitor claim statuses, process payments, and work to resolve any discrepancies or denials in a timely manner. Their role is crucial for maintaining cash flow and ensuring accurate billing in the healthcare industry.

To become an AR - Sr AR Caller, one typically needs a high school diploma or equivalent, though an associate degree in healthcare administration or a related field is advantageous. Relevant experience in medical billing, accounts receivable, or a similar administrative role is often required. Additionally, obtaining certification in medical billing can enhance a candidate’s qualifications and employment prospects.

The average salary for an AR - Sr AR Caller varies based on experience, education, and geographic location. Typically, individuals in this role can expect to earn a competitive salary that reflects their specialized skills in managing healthcare accounts and proficiency in handling complex billing systems. Salaries are often higher in metropolitan areas or for those with extensive experience in the field.

Key qualifications for an AR - Sr AR Caller role include a strong understanding of medical billing and coding, proficiency with billing software, and excellent communication skills. Experience in handling accounts receivable in a healthcare setting is highly desirable. Certifications, such as Certified Medical Reimbursement Specialist (CMRS), can further authenticate a candidate’s expertise.

An AR - Sr AR Caller must possess excellent analytical skills to review and analyze unpaid claims. They should be detail-oriented and organized to manage accounts efficiently. Responsibilities include following up on outstanding claims, negotiating with insurance companies, addressing claim denials, and ensuring accurate documentation. Strong communication skills are essential for liaising with various stakeholders effectively.