Full Description
AR Caller Expand a profession in US Healthcare
Job Description
Duties:
Insurance Follow-up: To find out the status of pending claims, start making outbound calls to insurance payers located in the US.
Denial Management: Examine "Electronic Remittance Advice" (ERA) and "Explanation of Benefits" (EOB) to determine the precise grounds for claim denials.
"Coordination of Benefits" (COB), "Member Ineligibility," and "Credentialing" are examples of typical concerns that must be addressed and resolved in order to guarantee payment.
Appeals & Re-submissions: Work with the coding team to rectify and re-submit claims that contain errors, as well as prepare and submit official appeals for denied claims.
Documentation: Keep thorough records of every call, including the insurance representative's name, call reference numbers, and anticipated
payment dates in the CRM.
Compliance: To safeguard sensitive patient health information (PHI), strictly follow HIPAA (Health Insurance Portability and Accountability Act) rules.
Focus Skills:
Communication: The capacity to manage business transactions with insurance agents and outstanding spoken English skills with a neutral accent.
Understanding of US healthcare: familiarity with government payers such as Medicare and Medicaid, as well as PPO, HMO, and point-of-sale plans.
Technical Proficiency: The ability to use MS Excel for data tracking and medical billing software.
Analytical Thinking: The ability to interpret EOBs and comprehend the subtleties of CPT, HCPCS, and ICD-10 codes.
Apply now to become an integral part of our growing team!
With Regards,
HR - Maria
88708 33430
infohrmaria04@gmail.com