Job Overview

We are searching for a dedicated Sr AR Caller in US Healthcare, responsible for managing accounts receivable follow-up activities. This junior-level position offers a full-time opportunity located in Hyderabad and Bangalore, requiring a minimum of 1 year of experience in the field. The ideal candidate will have expertise in Hospital billing, denial management, and AR follow-up to ensure efficient processing and payment resolutions.

Qualifications and Skills

• Proven experience in medical billing and coding is mandatory for this role, essential for handling complex claim issues effectively.
• Ability to manage denial management with a keen understanding of payer policies and identification of denial trends (Mandatory skill).
• Proficient in AR follow-up processes, necessary for timely resolution of outstanding accounts and maintaining cash flow (Mandatory skill).
• Experience with insurance verification, crucial for verifying patient information and coverage with third-party payers.
• Familiarity with payment posting procedures, ensuring accuracy in recording and applying payments.
• Strong knowledge of appeals process, adept at handling claim disputes and securing favorable outcomes for denied claims.
• Understanding of CPT/ICD-10 codes, vital for accurate billing and coding of healthcare services rendered.
• Comprehensive knowledge of HIPAA regulations to ensure compliance and protection of patient information.
• claim form UB-04

Roles and Responsibilities

• Conduct comprehensive accounts receivable follow-up for outstanding medical claims with insurance companies.
• Identify and rectify any discrepancies or unpaid balances through denial management and appeals process.
• Verify insurance policies to ensure patients have appropriate coverage for rendered services.
• Post payments accurately in the billing system and reconcile any differences in payment received with expected amounts.
• Collaborate with healthcare providers to clarify information on patient records and billing statements.
• Maintain up-to-date knowledge on industry changes and insurers' policies to optimize accounts receivable collections.
• Contribute to process improvements within the AR follow-up operations to enhance efficiency and effectiveness.
• Ensure compliance with healthcare regulations, including HIPAA, to safeguard patient information throughout the billing process.