Initiate payer calls to follow up on outstanding patient claims, investigate denials using billing records and EOBs, update AR systems, take corrective actions (resubmissions/transfers), and document outcomes. Measured on payments collected from AR efforts.
Summary
As an AR Caller in Acurus you have to Initiate telephone calls to insurance companies requesting status of claims for the outstanding balances on patient accounts and taking appropriate actions. Manage A/R accounts by ensuring accurate and timely follow-up.
What you'll do- Review AR claims, understand the denial reason, call the payers if required, resolve the issue and take the claim to closure
- Analyse the accounts allocated in AR Tool and to take appropriate actions
- Research and interpret from the available data in billing software, EOB, MR, authorization and understand the reasons for denial/underpayment/no response
- Check claim status through third party web portals, Insurance websites, IVR or by calling the payer
- Record after-call actions and perform post call analysis for the claim follow-up
- Take corrective actions covering resubmission of claims, transferring to correct payer
- Measured based on the payments collected due to AR efforts of the individual
- Any Degree
- MIn 2 years experience in AR calling.
- Good Communication
- Knowledge of Healthcare terminology and ICD/CPT codes will be considered a plus
- Use of medical billing software will be considered an advantage
- Basic Medical Billing Course completion will be an added advantage
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