AR Caller Set up a Future in US Medical Care - Price: Rs. 0

AR Caller Set up a Future in US Medical Care
Job Description:
Responsibilities:
Insurance Follow-up: Make outgoing calls to US-based insurance companies to inquire about the status of claims that have taken longer than the typical processing time (30+ days).
Denial Resolution: Speak with insurance agents directly to determine the underlying reason for claim denials (such as "Member not found," "Non-covered service," or "Coding error").
Reprocessing Claims: To get claims reprocessed right away without a formal appeal, give missing information over the phone (such as updated member IDs or service dates).
Payer Portals: To effectively check claim status, obtain Electronic Remittance Advice (ERA), and confirm eligibility, use insurance web portals.
Documentation: In the Practice Management System (PMS), accurately record each call, including the representative's name, call reference number, and the precise "Next Action" that is needed.
Escalation Identification: Send a claim to the AR Analyst or Billing Manager when it needs a formal appeal, medical documents, or code review.
Target Achievement: Maintain high quality ratings in call audits and regularly reach daily productivity goals (such as 40–60 calls per day).
Compliance: During all verbal and digital exchanges, closely follow HIPAA regulations to protect patient privacy and data security.

Experience: 0 to 3 yrs
Education: Any Basic Degree

If Interested Please do Send your CV along with you Informations as below to “infohrmaria04@gmail.com”

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Candidate Category: Fresher / Experienced
Willingness to Relocate: Yes / No

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Warm regards,
HR- Maria
88708 33430