US Healthcare AR Callers

ONQ India

US Healthcare AR Caller

Job Description

• Review eligibility and benefits verification for treatments, hospitalizations, and procedures.

• Review claims for accuracy and insurance compliance to obtain any missing information.

• Prepare, review, and transmit claims using billing software, including electronic and paper claim processing.

• Follow up on unpaid claims within standard billing cycle timeframes.

• Check insurance payments for accuracy and compliance with contract discount.

• Call insurance companies regarding any discrepancy in payments if necessary.

• Identify and bill secondary or tertiary insurances.

• Review accounts for insurance follow-up.

• Research and appeal denied claims.

• Update cash spreadsheets and run collection reports.

Required Skills

• Minimum 3 years of experience in Medical Billing and Revenue Cycle Management.

• Knowledge of insurance guidelines including HMO/PPO, Medicare, Medicaid, and other payer requirements and systems.

• Knowledge of medical terminology likely to be encountered in medical claims.

• Familiarity with CPT and ICD-10 Coding.

• Knowledge and understanding of the patient’s health information confidentiality guidelines and procedures in accordance with the Health Insurance Portability and Accountability Act of 1996 (HIPAA).

• Effective communication skills for phone contacts with insurance payers to resolve issues.

• Experience working with billing software and/or practice management software.

• Competent use of computer systems, software, and 10 key calculators.

• Be able to identify priorities, delegate tasks if needed, and handle conflict in a reasonable fashion.

• Problem-solving skills to research and resolve discrepancies, denials, appeals, collections.

• A calm manner and patience working with insurances and payers during this process.

• Ability to multitask.

• Experience

  2 - 3 Years

• No. of Openings

  10

• Education

  Any Bachelor Degree

• Role

  AR Callers

• Industry Type

  Call Centre / BPO / KPO / ITES / LPO

• Gender

  Male

• Job Country

  India

• Type of Job

  Full Time

• Work Location Type

  Work from Office