AR caller

126

Applications

Hyderabad
Full-Time
Junior (1 to 3 years)
1L - 3L (Per Year)
Posted on Jan 10 2023

About the Job

Skills

RCM
Denial Management
US Healthcare
Communication

Responsibilities

  • Complete monitoring and resolving claim denials and/or low insurance payments.
  • Work the aging accounts and collect pending receivable payments from insurance companies.
  • Prioritize and effectively communicate.
  • Work with the team to achieve and maintain key AR benchmarks.
  • Meet Productivity Goals.
  • Regularly review accounts and prepare information for the collection agency, correcting and resubmitting claims to third-party payers when necessary.
  • Check each insurance payment for accuracy, including contract-discount compliance.
  • Review patient bills for accuracy and obtain missing information before identifying and billing secondary and tertiary insurances.
  • Call insurance companies to settle payment discrepancies or investigate unpaid claims within the standard billing cycle timeframe.
  • Research and resolve accounts.
  • Provide additional education back to team members on Member specifics or payer guidelines.
  • Adhere to all HIPAA guidelines and regulations keeping all of the data in our system safe and secure.
  • Reliable and punctual in reporting for work and taking designated breaks.

Abilities and Knowledge

  • Making decisions, problem solving, and a knack for finding solutions are key in this role.
  • Ability to resolve payment issues and effectively follow up with insurance companies.
  • Knowledge of insurance guidelines, especially those associated with Medicare and Medicaid as well as ICD-10 and CPT codes.
  • Critical and analytical thinking skills to help resolve billing issues and collect payments.
  • Top-notch confidentiality in accordance with Data Privacy Policy.
  • Be passionate about quality.
  • Be able to perform in all forms of communication (i.e., phone and email). You’ll be interacting with insurance companies regarding accounts, past due balances, unpaid claims, and other billing-related items. Strong communication skills are a must. 
  • Be fluent in billing language and comfortable with AR software.
  • Meet weekly metrics by working the required number of accounts per day, which includes working denials, sending appeals, communication with our members and patients.


Education and Experience

Required:

  • One to Two years of experience in AR 
  • At least Graduate 
  • Healthcare compliance and terminology knowledge


About the company

Premier provider of diversity talent management solutions. Our service offerings include Executive Search and Selection, Staff Leasing, Talent Analytics, Career Advisory, Interview preparation and Diversity training

Company Size

2-10 Employees

Headquarter

Hyderabad

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