01Key Responsibilities
Perform AR follow-up calls with insurance companies regarding unpaid, denied, and pending claims.
Analyze claim status and take appropriate action to resolve outstanding balances.
Handle insurance portals and payer websites for claim tracking and updates.
Identify denial reasons and coordinate corrective actions for claim resolution.
Work on aging reports and prioritize accounts based on outstanding balances.
Maintain accurate documentation of all follow-up activities.
Communicate effectively with insurance representatives, providers, and internal teams.
Meet productivity and quality targets as per process requirements.
Follow HIPAA compliance and healthcare billing guidelines.
Escalate complex issues to the appropriate teams for resolution.
Required Skills & Qualifications:
Minimum 2 years of experience in US Healthcare AR Calling.
Strong knowledge of the US healthcare billing and revenue cycle process.
Experience handling insurance follow-ups, denials, appeals, and claim reprocessing.
Good understanding of EOBs, ERAs, CPT, ICD, and HCPCS codes.
Knowledge of Medicare, Medicaid, Commercial insurance, and Workers Compensation claims.
Excellent communication and negotiation skills.
Ability to work independently and manage multiple accounts.
Good analytical and problem-solving skills.
Proficiency in MS Excel and healthcare billing tools.
Preferred Experience:
Experience working with US healthcare clients.
Experience in handling high-value and aged AR accounts.
Knowledge of payer rules and denial management.
Experience with RCM software and practice management systems.
Key Performance Indicators (KPIs):
AR recovery rate
Claim resolution turnaround time
Call quality and documentation accuracy
Productivity and collection targets
Denial resolution effectiveness
Compensation: 15,000.00 - 40,000.00 per month
Benefits:
Provident Fund
Work Location: In person .
