AR Caller (Full Time)

Health Prime

Job Title - Analyst/Specialist/Senior Specialist - AR Calling - US Healthcare RCM

Job Description:

Responsible for calling Insurance companies (in US) on behalf of doctors/physicians and follow up on outstanding Accounts Receivable.

To prioritize the pending/overdue tasks for calling/working from the aging basket.

Should be able to convince the claims company (payers) for reprocessing the claims for payment of their outstanding claims.

To check the appropriateness of the demographic/insurance information given by the patient if it is inadequate or unclear.

To make a physical call by following the international norms and applicable rules for confidentiality and HIPAA compliance.

Escalate difficult collection situations to the teams supervisors in a timely manner.

Review provider claims that have not been paid by insurance companies or denied by the insurance companies.

Handling patients billing queries and updating their account information.

Working on denied claims by taking the appropriate action

Routing denials to the correct department in case of fix the hole opportunities

Escalate all avoidable denials to the teams supervisors where there is a direct revenue loss for the practice and the company

Sharing new findings with the teams supervisors and the team

Post cash and write off the contractual adjustments accordingly while working on the accounts.

Meeting daily/weekly and monthly targets set for an individual.

Desired Profile:

Should be willing to work in US Shift.

Experience in Denial Management (Healthcare Revenue Cycle Management) process.

Strong written and verbal communication skills.

Good computer skills including Microsoft Office suite.

Ability to prioritize and manage work queue.

Ability to work independently as well as in a team environment.

Strong analytical and problem-solving skills.

Good typing skills with a speed of min 30-35 words /min.

Interested can call

Mari Manoj

• Experience

  1 - 6 Years

• No. of Openings

  10

• Education

  Higher Secondary

• Role

  AR Caller

• Industry Type

  Call Centre / BPO / KPO / ITES / LPO

• Gender

  [ Male / Female ]

• Job Country

  India

• Type of Job

  Full Time (Night Shift)

• Work Location Type

  Work from Home