01Overview
Core responsibilitiesCall insurance companies: Make outbound calls to insurance to follow up on outstanding claims.Resolve claim issues: Investigate and resolve denied or underpaid claims, including reviewing Explanation of Benefits (EOBs).Ensure timely payment: Work to ensure claims are paid on time, which includes correcting errors and appealing denials.Maintain records: Keep accurate and detailed records of all communication and claim statuses in the billing system.Collaborate internally: Work with internal teams (like medical billing and coding) to resolve discrepancies and improve processes.Stay updated: Maintain up-to-date knowledge of insurance policies, procedures, and regulations.Meet targets: Work towards meeting daily and monthly accounts receivable collection goals. Required skills and qualificationsAtleast 1-3 years experience in AR calling US Healthcare. Candidates worked into end to end RCM domain highly preferred.Strong communication skills (verbal and written).Excellent organizational and time management skills.Detail-oriented with strong follow-up abilities.Familiarity with medical billing, revenue cycle management, and healthcare software is often preferred.Knowledge of insurance guidelines and reimbursement processes.Problem-solving and analytical skills. .
