Full Description
AR Caller Engage with Overseas Consumers
Job Description:
The specialist who handles the follow-up and settlement of unresolved medical claims with insurance companies is known as an AR Caller (Accounts Receivable Caller). Your main goal is to reduce the "Days in AR" by looking into the reasons why claims have been rejected, postponed, or underpaid and taking the required steps to ensure healthcare providers are reimbursed. You are a persistent negotiator and problem-solver who is aware of the intricacies of the US healthcare system. The ideal applicant has a strong grasp of medical billing cycles and denial management, a high level of perseverance, and outstanding verbal communication skills.
Key Duties
Insurance Follow-up: Track the progress of outstanding claims and determine the reasons for non-payment by contacting insurance companies via phone or online.
Denial Management: Examine Electronic Remittance
Advice (ERA) and Explanation of Benefits (EOB) to determine denial codes (such as CO-16 and CO-45) and file the necessary appeals.
Claims Correction: Work with the billing and coding teams to correct mistakes pertaining to insurance eligibility, patient demographics, or coding modifiers.
Processing Appeals: Write and send official appeal letters, making sure all supporting evidence is included, to insurance companies for claims that have been unfairly denied or underpaid.
Payer Knowledge: Keep abreast of the many kinds of insurance, as well as their particular filing restrictions and reimbursement guidelines.
Documentation: Keep thorough records of every conversation you have with insurance agents, including call reference numbers, representative names, and anticipated resolution dates.
We invite you to apply and explore this exciting opportunity!
Warm Regards,
HR - Maria
88708 33430
infohrmaria04@gmail.com