Accounts Receivable Caller (AR Caller)

Job Desciption:

• Perform pre-call analysis and check status by calling the payer or using IVR or web portal services
• Maintain adequate documentation on the client software to send necessary documentation to insurance companies and maintain a clear audit trail for future reference
• Record after-call actions and perform post call analysis for the claim follow-up
• Assess and resolve enquiries, requests and complaints through calling to ensure that customer enquiries are resolved at first point of contact
• Provide accurate product/ service information to customer, research available documentation including authorization, nursing notes, medical documentation on client's systems, interpret explanation of benefits received etc prior to making the call
• Perform analysis of accounts receivable data and understand the reasons for underpayment, days in A/R, top denial reasons, use appropriate codes to be used in documentation of the reasons for denials / underpayments

​​​​​Job Requirement:

• Minimum 1 year of experience in US healthcare/RCM (Revenue Cycle Management)
• Should have experience in Denial Management
• Okay with nigt shifts (Both side cab provided)
• Aware of the healthcare process and worked on claims. 
• Knowledge about data maintenance
• Good communication skills