AR Caller / Sr. AR Caller / Medical Billing - Executive

We are seeking a dedicated and experienced AR Caller / Senior AR Caller to join our growing team. The ideal candidate should have a strong background in Denials Management, Physician Billing, and Hospital Billing, with a focus on Multispecialty practices. As an AR Caller, you will play a vital role in managing accounts receivable, resolving denials, and ensuring the accurate processing of claims to ensure timely reimbursement for healthcare services.

Key Responsibilities:
Denials Management:

Review and resolve denied claims for both physician and hospital billing.
Identify reasons for denials and initiate corrective actions (e.g., re-submission, appeals, etc.).
Ensure all denials are worked in a timely and efficient manner to reduce A/R days.
Account Receivables Management:

Follow up on outstanding claims across multiple specialties.
Contact insurance companies, physicians, and patients to resolve issues regarding unpaid or underpaid claims.
Maintain clear and accurate documentation of interactions and resolutions for each account.
Physician Billing:

Process physician claims with accuracy, ensuring that all information is up to date and complies with payer requirements.
Handle various types of physician services, including consultations, office visits, and specialty care, across a multispecialty setting.
Hospital Billing:

Oversee hospital claim submission processes, ensuring accurate coding, billing, and timely follow-up for both inpatient and outpatient services.
Handle charge entry, payment posting, and ensure compliance with hospital billing practices.
Multispecialty Knowledge:

Work with a diverse set of specialties (e.g., cardiology, orthopedics, dermatology, etc.) to ensure proper billing and AR management across departments.
Stay updated with each specialty's coding and billing guidelines to ensure adherence to best practices.
Collaboration:

Collaborate with internal teams (billing, coding, medical records) to resolve issues and improve overall revenue cycle performance.
Work directly with payers to resolve issues and ensure timely claim payments.
Reporting:

Generate and analyze reports on the status of outstanding claims, denials, and AR aging.
Provide updates to senior management on trends and issues related to claim denials and outstanding balances.

Qualifications:
Experience:
3-5 years of experience in Accounts Receivable, Denial Management, Physician Billing, or Hospital Billing, specifically in a multispecialty environment.
Strong understanding of medical terminology, insurance types (commercial, Medicare, Medicaid), and healthcare coding (CPT, ICD-10).

Skills:
Knowledge of AR management tools, practice management software, and payer-specific portals.
Expertise in denial resolution strategies and proven success in reducing A/R aging.
Strong communication skills, both verbal and written, with the ability to interact with insurance companies, providers, and internal teams.