to check the status of medical claims, resolve denials, and ensure timely reimbursement for healthcare providers. The role involves outbound calling, claim analysis, denial management, and documentation.
Key Responsibilities
Insurance Follow-up
Make
outbound calls
to insurance companies to follow up on
unpaid or underpaid claims
.
Check claim status: paid, denied, pending, or additional information required.
Ensure adherence to
payer-specific guidelines
.
Claims Analysis
Review claim history, coding, and payer responses.
Identify reasons for non-payment (denials, rejections, missing info, etc.).
Take corrective actions such as
appeals, reprocessing, coding clarification
, or updating patient/insurance details.
Denial Management
Understand and resolve
common denials
(CO, PR, OA, etc.).
Initiate re-submissions or appeals with the necessary documentation.
Documentation
Update the billing system with
clear, concise call notes
and actions taken.
Maintain accurate records of follow-up activities and claim status.
Communication & Coordination
Coordinate with the coding, charge entry, and payment posting teams.
Communicate payer requirements and trends to internal teams.
Performance Metrics
Meet daily and weekly productivity targets:
Number of calls made
Claims worked
Daily resolved accounts
Maintain quality and compliance standards.
Required Skills & Qualifications
Strong communication skills in English (both verbal and written).
Good understanding of
US healthcare, medical billing, CPT, ICD, HCPCS codes
, and insurance terminology.
Experience in
AR follow-up
, denial management, or US RCM preferred.
Ability to work night shifts (US time zones).
Basic computer skills and familiarity with medical billing software (e.g., Epic, Athena, Kareo, eClinicalWorks).
Preferred Experience
1-3 years of experience as an AR Caller / AR Analyst / AR Follow-up Specialist.
Knowledge of Medicare, Medicaid, and commercial payer guidelines.
For Queries:
*hrtp@acidusms.com
*9600886888
Location - Tidel Park
We look forward to hearing from you!
Job Type: Full-time
Pay: ?12,000.00 - ?25,000.00 per month
Benefits:
Provident Fund
Work Location: In person
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