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 patients 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