Job Description :

• AR Caller Career Development Potential

  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 Outbound Follow-Up Calling: To monitor the status of claim adjudication and speed up payment, make daily outbound phone calls to government and commercial insurance representatives.

  DenialInvestigation & Resolution: To start the claim reprocessing process, ask payer call center agents directly about specific claim rejection codes, unpaid claim reasons, medical record needs, and authorisation concerns.

  Real-Time PayerPortal & IVR Checks: Before making a call, use clearinghouses, payer web portals, and automated Interactive Voice Response systems to confirm eligibility and claim status.

  Claim Reprocessing & Appeals Initiation: Get precise payer requirements to file formal written appeals, change missing or inaccurate billing details, and request claim re-adjudication over the phone.

  Complete Call Documentation & Dispositioning: Use Practice Management software to record clear, standardised call notes that include claim reference numbers, payer representative names, call outcomes, and anticipated payment dates.

   

  Required Skills: 

  Insurance Follow-Up & Telephone Negotiation Mastery: Excellent verbal communication and negotiating skills to engage with insurance contact center representatives in an efficient manner, ask specific questions about the status of claims, and contest incorrect claim denials.

  Medical Billing & Claim Adjudication Knowledge: A thorough comprehension of CARC/RARC rejection codes, timely filing limits, deductible/coinsurance requirements, EOB/ERA breakdown, and HCFA 1500/UB-04 claim forms.

  Payer Web Portal & IVR Navigation: The ability to effectively extract claim status information from online payer portals, automated phone touch-tone systems, and clearinghouses.

  Practice Management (PM) & EHR Software Navigation: Practical experience using healthcare software platforms to record call dispositions and evaluate claim histories.

   

  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