Job Description :

• AR Caller Claim Status & Payment Follow-Up

  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 Claim Follow-up & AR Recovery: Contact U.S. insurance payors (Medicare, Medicaid, Commercial, HMO/PPO) via phone and web portals to check claim status, process outstanding accounts receivable balances, and expedite claim processing.

  Denial Management & Rejection Resolution: Analyze claim rejection/denial codes (ANSI remark/reason codes), identify root causes for non-payment, gather missing clinical documentation or coding updates, and re-submit corrected claims.

  Appeals & Dispute Processing: Draft and submit formal written appeals, reconsideration requests, and supporting documentation for wrongfully denied or underpaid claims within payor-specific timely filing limits (TFL).

  HIPAA & Payor Guidelines Compliance: Maintain strict adherence to HIPAA regulations, patient health information (PHI) security protocols, state healthcare laws, and payor billing guidelines during all communications.

  RCM Analytics & Ledger Tracking: Log daily call dispositions, claim resolution notes, denial trends, pending aging buckets, and collectability projections using spreadsheets and practice management systems

   

  Required Skills: 

  Education: Bachelor’s Degree in Healthcare Management, Life Sciences, Commerce, Business Administration (BBA), Computer Applications (BCA), Arts (B.A.), or equivalent diploma.

  Experience: 0 to 3+ years of hands-on experience as an AR Caller, RCM Executive, Claim Follow-up Specialist, or Medical Billing Associate in the U.S. Healthcare process.

  Technical Mastery: US Healthcare Revenue Cycle Management (RCM), Medical Billing Software (eClinicalWorks, AdvancedMD, Kareo, Brightree), ICD-10/CPT coding awareness, EOB/ERA interpretation, clearinghouse operations, and Excel tracking

   

  Experience: 0 to 3yrs

  Salary: Best in the Industries

   

  Immediate Joiner Mostly Preferred

  Interested Candidates Contact the HR ASAP

  Warm Regards,

  HR - Maria

  88708 33430

  infohrmaria04@gmail.com