on insurance claims to ensure maximum reimbursement.
Handle
denials, rejections, and appeals
with effective resolution strategies.
Analyze
aging reports
and prioritize claims to reduce AR days.
Interact with insurance representatives to clarify claim status and resolve payment delays.
Identify
trends in denials/underpayments
and share feedback with the team.
Ensure compliance with HIPAA regulations and client-specific guidelines.
Mentor/guide junior team members when required.
Required Skills:
1-3 years of
AR calling experience in US healthcare RCM
.
Strong knowledge of
CPT, ICD, modifiers, and claim adjudication process