Full Description
AR Caller Boost Archives and Improve Skills
Candidate Application:
Full Name:
Contact Number:
Email Address:
Current Location:
Position Applied For:
Qualification:
Year of Passout:
Candidate Category: Fresher / Experienced
Willingness to Relocate: Yes / No
Total Years of Experience: (If applicable)
Current/Last Drawn Salary (Monthly/Annual):
Notice Period:
Job Description:
Responsibilities:
Insurance Follow-up: Make proactive calls to insurance companies (Payers) about unpaid claims that are past the customary 30-day deadline.
Denial Management: Examine Electronic Remittance Advice (ERA) and Explanation of Benefits (EOB) to determine why a claim was rejected.
Appeal Processing: Create and submit official appeals for rejected claims, supplying the required medical records to support reimbursement.
Payment Posting Verification: Verify that the amounts received correspond to the agreed-upon rates and deal
with any underpayments or "silent PPO" problems.
Patient Communication: Periodically get in touch with patients to update insurance details or clarify their financial obligations (co-pays and deductibles).
Compliance: To guarantee the security and privacy of Protected Health Information (PHI), closely follow HIPAA regulations.
Required Skills:
Communication: Proficient in both written and spoken English, with the capacity to operate intricate "IVR" phone systems.
Medical Knowledge: Knowledge of ICD-10, CPT, HCPCS codes, and medical terminology.
Analytical Ability: The ability to troubleshoot claim issues by reading and comprehending EOBs and remittance advice.
Persistence in interacting with insurance agents to guarantee accurate reprocessing of claims.
Experience: 0 to 3 yrs
Salary: Best in the Industries
Immediate Joiner Mostly Preferred
Interested Candidates Contact the HR ASAP
Warm Regards,
HR - Maria
88708 33430
infohrmaria04@gmail.com