Roles and Responsibilities of an AR Caller: Health Care Industry: (Claims/Insurance), Voice Process
1) AR caller reviews the work-order given by the AR Analyst and starts calling the insurance carriers to check on the status of the claims filed with them.
2) If the claim has been processed, AR callers get the payment information.
3) If the claim is denied, AR callers find the reason for denial and see whether they can fix the denial while they are on the call with the Insurance Carrier.
4) If that is not viable option, the caller will note the reason for the denial and pass it on to the AR analyst to fix the Denial.
In short, the caller contacts the insurer, gets the data on all the claims given in the work order, and reports back to the AR Analyst to make sure necessary action is taken on each claim.
Experience Candidate: Min 18 month as AR Caller from Health Care Industry
Cab: 8:30pm to 6:30am shift timing
Salary: 3.2 lakh per annum
Rounds of Interview: HR, Online Test and Operation Interview.
Pls look into Strong knowledge on Revenue Cycle Management System and experience with Denial Management will be
Key Skills: US Healthcare, Revenue Cycle Management, Denial Management, AR Calling, Medical Billing, Claims Adjudication, Provider, Revenue Codes, Claims Research, HIPPA, PHI
Job Description Domain
a. Analysis on Denials of Claims with resolution on reprocessing claims with insurance
b. Should be able to convince the Insurance Company for payment of their outstanding claims.
c. Interacting with US based Insurance Company.
d. Experience in hospital billing (UB-04 billing), Type of Bill, Revenue Codes, Acute Care, Critical Care hospital related rules, policies and procedures.
e. Researching claims
f. Determining actions to be taken next
a. Analyzing work and finding trends that can help clients re-engineer processes
Required Skills Sets
a. Experience: Minimum 1 - 2 Years in Hospital Billing
b. Basic knowledge of MS Office and Internet skills.
c. Excellent verbal and written communication skills.
d. Good Analytical & decent Math Skills.
e. Should be willing to work in Night Shifts.
Intone Networks Pvt Ltd
We are a U.S based Company,we are in I.T & Non I.T... placements,Staffing Read full description