AR Caller

AR Caller – Roles & Responsibilities

1️⃣ Insurance Follow-Up

• Call insurance companies to check the status of pending claims.

• Follow up on unpaid, underpaid, or denied claims.

• Identify the reason for claim rejections and document detailed notes.

2️⃣ Denial Management

• Analyze denial reasons (coding errors, eligibility issues, authorization, etc.).

• Coordinate with the coding/billing team for corrections.

• Initiate reprocessing or file appeals when required.

3️⃣ Payment Posting & Reconciliation

• Verify payments received from insurance companies.

• Ensure correct adjustments and contractual write-offs are applied.

• Identify and escalate payment discrepancies.

4️⃣ Claim Re-submission

• Correct and re-submit claims based on payer feedback.

• Ensure compliance with payer-specific guidelines.

5️⃣ Appeals Process

• Prepare and submit appeals for wrongly denied claims.

• Follow up regularly until resolution.

6️⃣ Documentation & Reporting

• Maintain accurate call notes in the billing software.

• Track daily productivity and collection targets.

• Prepare AR aging reports and status updates.

7️⃣ Compliance & Confidentiality

• Adhere to HIPAA guidelines and data privacy regulations.

• Follow company policies and payer protocols.

8️⃣ Productivity & Quality Standards

• Meet daily call targets and collection benchmarks.

• Maintain high-quality communication and documentation standards.

• Ensure minimal aging of accounts.

🔹 Key Skills Required

• Strong communication skills (especially US accent neutralization)

• Knowledge of medical billing & coding basics (ICD, CPT, HCPCS)

• Understanding of insurance portals and billing software

• Analytical and problem-solving ability

• Attention to detail and time management skills

• इस फुल टाइम ग्राहक सहायता / टेलीकॉलर Job में 0 - 1 वर्षो का अनुभव वाले उम्मीदवारों की जरुरत है।