The AR Caller plays a crucial role in the revenue cycle management process of healthcare organizations. They are responsible for identifying and resolving issues with unpaid or denied claims and ensuring that the organization receives the appropriate reimbursement for services rendered.

Responsibilities

• Contact insurance companies, patients, and healthcare providers to follow up on outstanding medical claims
• Identify and resolve issues with unpaid or denied claims
• Ensure timely payment of claims by appealing denials and correcting any errors
• Review and analyze insurance remittance advice to ensure accurate reimbursement
• Maintain accurate and up-to-date records of all communication and actions taken
• Collaborate with internal departments to resolve billing discrepancies and coding issues
• Provide excellent customer service by effectively addressing inquiries and concerns
• Stay updated on industry trends and changes in insurance regulations

Qualifications

• High school diploma or equivalent
• Previous experience in medical billing or revenue cycle management
• Knowledge of medical billing software and insurance claim processing systems
• Strong understanding of insurance guidelines and reimbursement processes
• Excellent communication and interpersonal skills
• Detail-oriented and highly organized
• Ability to multitask and prioritize work
• Problem-solving and critical thinking skills
• Ability to work independently and as part of a team
• Familiarity with CPT coding and medical terminology
• Proficient in using Microsoft Office applications

Skills

• Medical billing
• Claim processing
• Reimbursement
• Insurance guidelines
• Communication
• Interpersonal skills
• Organization
• Multitasking
• Problem-solving
• Critical thinking
• Teamwork
• CPT coding
• Medical terminology
• Microsoft Office