We are seeking dedicated and experienced Accounts Receivable (AR) Callers to join our Navi Mumbai team. This crucial role within our Revenue Cycle Management (RCM) operations focuses specifically on managing and resolving outstanding claims within the
US healthcare sector
. The ideal candidate will be proficient in specific medical billing software, demonstrate expert knowledge of US healthcare guidelines, and maintain strict compliance with industry standards.
Key Responsibilities
Claim Follow-Up and Resolution:
Proactively follow up with US-based medical insurance payers via phone regarding the status of outstanding claims to ensure timely reimbursement.
Form Preparation & Submission:
Accurately complete and send appropriate claim forms, adhering strictly to
US CMS
,
UB04
,
CMS-1500
, and third-party payer guidelines.
Denial Management:
Utilize end-to-end process knowledge to manage, analyze, and resolve claim denials efficiently within the US healthcare framework.
Compliance and Documentation:
Ensure all activities align with US healthcare regulations (e.g.,
HIPAA
) and maintain meticulous documentation of all follow-up actions and communications within the billing system.
Service Excellence:
Demonstrate a high level of professionalism and service excellence when interacting with all clients, employees, and US-based patient account details.
Required Qualifications & Skills
Experience:
o 1 to 2 years of proven experience in an AR calling role exclusively within the
US Healthcare Industry
.
o Specific, hands-on experience working with
Epic Software
is mandatory.
o Experience working with the
CMS-1500
process and US EOBs (Explanation of Benefits).
Eligibility:
o Any Graduate degree is acceptable.
Skills & Knowledge:
o In-depth, end-to-end process knowledge of
Denial Management
relevant to US payers.
o Familiarity with US billing codes and guidelines.
o Strong communication and problem-solving skills with a professional command of English.
Job Types: Full-time, Permanent
Pay: ₹30,000.00 - ₹45,000.00 per month
Benefits:
Commuter assistance
Health insurance
Leave encashment
Life insurance
Paid sick time
Paid time off
Provident Fund
Application Question(s):
Are you currently residing in Navi Mumbai?
How many years of experience you have in AR?
Work Location: In person
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