Full Description
Acquire a Business as an AR Caller in Medical Billing
Job Description
In the US healthcare revenue cycle management (RCM) process, the AR caller is a crucial specialist. Your main goal is to reduce the number of "Days in AR" by aggressively pursuing insurance companies over unpaid or rejected medical claims. In order to secure the highest possible reimbursement, you will navigate intricate insurance websites and negotiate professionally over the phone with payer personnel as a tenacious champion for the healthcare provider. The ideal applicant is a persistent problem-solver who is knowledgeable about the medical claim lifecycle and is able to convert insurance jargon into favorable payment results.
Responsibilities
Payer Follow-up: To find out the status of outstanding claims, start making outbound calls to US-based insurance providers.
Denial Management: Examine "Electronic Remittance Advice" (ERA) and "Explanation of Benefits" (EOB) to determine the causes of claim denials or rejections.
Claims Correction: By working with the coding and billing teams, resolve typical denial concerns such "Missing Info," "Incorrect Coding," or "Non-covered
Service"
Processing Appeals: Write and send official appeal letters, making sure to include all required medical records, for administrative or clinical denials.
Patient Interaction: Contact patients on occasion to provide clarification on coordination of benefits (COB) data or to update insurance information.
Documentation: Keep thorough records of every call in the Practice Management (PM) system, including the name of the representative, the call reference number, and the anticipated date of payment.
Skills:
Strong knowledge of CPT/ICD-10 codes, HIPAA laws, and several insurance kinds (HMO, PPO, and government) are examples of US healthcare knowledge.
Communication: Fluent in speaking with US-based insurance representatives, with a neutral accent.
Tenacity: The capacity to tolerate protracted hold periods and maintain commitment until a solution is found.
Analytical Ability: The capacity to pinpoint the underlying reason why a claim was rejected based on intricate financial data.
We invite you to apply and explore this exciting opportunity!
Warm Regards,
HR - Maria
88708 33430
infohrmaria04@gmail.com