AR Caller - Denial Management (US Healthcare)

Looking for high growth driven individuals to join our fast-growing company:

Position : AR Caller (Looking for immediate joiners)

Location : Home Based/Remote

Experience : AR caller - 2+ years (with relevant experience in US Medical Billing in AR)

Job Responsibilities

• Should handle US Healthcare providers/ Physicians/ Labs Accounts Receivable
• Initiate telephone calls to insurance companies requesting status of claims for the outstanding balances on patient accounts and taking appropriate actions
• Document those actions in claim billing summary notes
• Manage A/R accounts by ensuring accurate and timely follow-up
• Understand the client requirements and specifications of the project
• Ensure that the deliverable to the client adhere to the quality standards.
• Responsible for working on Denials and Rejections, making required corrections to claims.
• Able to resolve billing issues and take appropriate action for denied claims.
• Should be Familiar with all the Web Portal Navigation
• Should be able to get the Patient Eligibility on Call and from Web Portals.
• Should be able to get the Authorization from Payers.
• Should be able to resolve billing issues that have resulted in delay in payment
• To review emails for any updates
• Identify issues and escalate the same to the immediate supervisor
• Reviewing EOB, capturing denials, fixing them for payments, and understanding recoupments
• Should be able to get claim status from Website, IVR, and insurance representatives
• Strong in AR denials management and provide qualitative support in Charges
• To ensure that the deliverable to the client adhere to the quality standards
• Good experience in denial management, appeals & referral process
• Should be good at pre calling analysis

Requirements

• Minimum 2 years work experience as an AR Caller in Revenue Cycle Management Process in US Medical Billing
• Sound knowledge in Healthcare concept
• Should have basic knowledge of the entire revenue cycle management (RCM)of US Healthcare domain
• Must possess good communication skill with neutral accent.
• Must be flexible and should have a positive attitude towards work.
• Must be willing to work in Night Shifts.
• Excellent Knowledge on Denial management.
• Should be proficient in calling the insurance companies
• Ensure targeted collections are met on a daily / monthly basis Meet the productivity targets of clients within the stipulated time
• Ensure accurate and timely follow up on pending claims wherein required
• Should have good knowledge and hands on experience in MS office especially MS excel
• Ability to multi-task
• Candidate should have their own Laptop along with Internet connection.

Interested candidates can send their updated profiles with Current and Expected Salary to Surabhi at surabhi@businessadvisorsmd.com