team. The ideal candidate will be responsible for managing accounts receivable activities by following up with insurance companies to ensure timely and accurate reimbursement for healthcare claims. You will play a key role in identifying denials, resolving claim issues, and ensuring the financial success of our clients.
Key Roles and Responsibilities:
Perform
follow-up calls
with insurance companies (US Healthcare payers) to resolve outstanding claims.
Verify claim status
, payment information, and identify reasons for delays or denials.
Analyze and resolve claim denials
by taking appropriate action or escalating complex issues as required.
Work on
denial management and appeals
, ensuring timely submission and resolution.
Identify
root causes of denials
and share feedback for process improvement.
Maintain
accurate documentation
of all claim activities in the billing system.
Communicate effectively with
insurance representatives
and internal departments.
Achieve
daily/weekly productivity targets
and ensure adherence to quality standards.
Stay updated on
payer policies, coding guidelines
, and industry regulations.
Required Skills & Competencies:
Minimum
2 years of experience
as an AR Caller in US Healthcare (Medical Billing) domain.
Strong understanding of
RCM process, insurance terminologies, CPT, ICD-10 codes, and EOBs.
Excellent
verbal and written communication skills.
Strong
analytical and problem-solving abilities.
Proficiency in using
medical billing software and MS Office tools.
Ability to work
independently and in a team
within a fast-paced environment.
Flexibility to work
night shifts (US time zone).
Job Types: Full-time, Permanent
Pay: ₹200,000.00 - ₹300,000.00 per year
Benefits:
Food provided
Health insurance
Provident Fund
Work Location: In person
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