with hands-on experience in the US healthcare revenue cycle management process. The ideal candidate will be responsible for calling insurance companies, following up on claims, verifying patient eligibility, and supporting credentialing processes to ensure smooth billing operations and faster reimbursement.
Key Responsibilities:
Handle outbound calls to U.S.-based insurance companies regarding outstanding medical claims.
Verify claim status, eligibility, and resolve pending AR issues.
Proficiently understand and apply medical billing terminologies including CPT, ICD-10, and HCPCS codes.
Update the internal systems with accurate call outcomes and action items.
Identify and report trends in denials and provide insights to reduce recurring issues.
Support the credentialing process when required by verifying provider details and documentation with payers.
Ensure daily productivity, quality benchmarks, and adherence to HIPAA compliance standards.
Collaborate with internal billing and coding teams to resolve claim issues effectively.
Desired Candidate Profile:
Minimum 1 year of experience in AR calling / U.S. medical billing process.
Strong verbal communication and listening skills in English.
Familiar with common U.S. healthcare terms and insurance workflows.
Experience in provider credentialing will be a plus.
Basic computer knowledge and comfort working with medical billing software/tools.
Team player with a proactive approach to learning and issue resolution.
Job Types: Full-time, Permanent
Pay: ₹20,000.00 - ₹30,885.77 per month
Benefits:
Health insurance
Work from home
Schedule:
US shift
Supplemental Pay:
Performance bonus
Yearly bonus
Language:
Hindi (Preferred)
English (Preferred)
Work Location: In person
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