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AR Caller Physician billing US Healthcare @ Source To Win

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 AR Caller Physician billing US Healthcare

Job Description

    Key responsibilities
    • Follow up on unpaid claims:  Contact insurance companies and patients to check the status of pending claims and collect outstanding balances.   
    • Resolve denied claims:  Investigate reasons for claim denials, appeal them when appropriate, and correct errors to ensure payment.   
    • Liaise with payers:  Communicate with insurance companies to understand their policies and get information on why claims are held up.   
    • Verify eligibility:  Check with insurance providers to ensure patients have the correct coverage for the services they receive.   
    • Maintain records:  Keep accurate and up-to-date records of all communications and actions taken on claims.   
    • Collaborate internally:  Work with other departments to resolve billing discrepancies and coding issues.   
    Required skills and qualifications
    • Strong communication and analytical skills.   
    • Knowledge of medical billing, medical terminology, and insurance guidelines.   
    • Familiarity with medical billing software and claim processing systems is a plus.   
    • Experience with denial management and US healthcare is often required.   
    • Some roles may require a high school diploma, while others may prefer a degree.   
    How it fits into the revenue cycle
    • AR calling is a key part of revenue cycle management (RCM), focusing on the post-submission and payment collection phase.   
    • It acts as an intermediary between the healthcare provider, the insurance company, and the patient to manage accounts receivable efficiently and reduce the time unpaid accounts remain open

Employement Category:

Employement Type: Full time
Industry: Medical / Healthcare
Role Category: Allied Health Services
Functional Area: Not Specified
Role/Responsibilies: AR Caller Physician billing US Healthcare

Contact Details:

Company: Source To Win
Location(s): Chennai

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Keyskills:   us healthcare denial management physician billing ar calling hospital billing ar caller

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₹ 1 to 4 Yr

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