Job Description :

• AR Caller Claim Status 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:

  Conduct daily outbound calls to US healthcare insurance payers (e.g., Medicare, Medicaid, Blue Cross Blue Shield, Aetna, UnitedHealthcare, Cigna) to verify claim receipt, status, and adjudication.

  Review, analyze, and appeal claim denials, rejections, short payments, and unpaid claims based on EOB/ERA codes and payer-specific guidelines.

  Identify root causes of claim rejections and coordinate with coding/billing teams for resolution.

  Resubmit corrected claims, submit medical necessity documentation, and lodge formal appeals for disputed claim denials.

  Accurately document call outcomes, claim status notes, expected payment dates, and action items within the billing software/medical CRM.

  Maintain target metrics for Daily Call Volume, First Contact Resolution, Net Collection Rate, and Reduction of Days in AR.

  Adhere strictly to HIPAA regulations, patient privacy laws, US healthcare billing guidelines, and company compliance standards

   

  Required Skills: 

  Strong understanding of the US Healthcare Revenue Cycle Management (RCM) process, medical billing workflows, and insurance claim lifecycles.

  Sound working knowledge of medical coding concepts (CPT, ICD-10, HCPCS), EOB/ERA interpretation, denial codes, and appeal procedures.

  Excellent spoken English communication skills, active listening abilities, and a clear, neutral accent for professional phone calls with US payer representatives.

  Hands-on experience with medical billing software and practice management systems (e.g., AdvancedMD, eClinicalWorks, Kareo, NextGen, Epic).

  Strong analytical, problem-solving, and negotiation skills to resolve complex insurance claim disputes efficiently

   

  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