Job Description :

• A Fantastic Job Prospect for AR Experts

  Job Description

  The main "Insurance Voice Anchor, Claim Resolution Specialist, Payer Follow-Up Engine & Revenue Recovery Guardian" for our healthcare revenue cycle activities is the AR Caller Medical Billing, Insurance Follow-Up, Denial Resolution & Revenue Cycle Management Specialist. While billing managers and revenue cycle directors set overall revenue cycle management (RCM) goals, payer contract terms, and high-level financial strategies, your main responsibility is to make direct contact with insurance companies through phone calls and web portals, look into unpaid or denied claims, get past claim processing delays, and obtain accurate claim adjudication. In your capacity as the "Guardian of Active Payer Communication, Denial Overturn Rates, Timely Filing Recovery, and Outbound Call Resolution," you take direct responsibility for chasing insurance payers in order to turn past-due accounts receivable into cash collections.

   

  Key Duties

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

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

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

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

  Thorough Call Documentation & Dispositioning: Record call outcomes, payer representative names, claim reference numbers, and anticipated payment dates in clear, standardised call notes that are entered into Practice Management software.

   

  We invite you to apply and explore this exciting opportunity!

  Warm Regards,

  HR - Maria

  88708 33430

  infohrmaria04@gmail.com