Full-timeRoyapettah, Chennai, Tamil Nadu, IndiaNo salary listedIn-person
About the Job
Requirements
At least 3 years of experience.
Experience calling Workers' Compensation claims and handling refunds.
Good communication skills.
Experience with NextGen is preferred.
Responsibilities
Call U.S. insurance companies to obtain claim status and payment information.
Follow up on outstanding accounts receivable and pending claims.
Investigate denied, rejected, or underpaid claims.
Review Explanation of Benefits (EOB) and Electronic Remittance Advice (ERA).
Document call outcomes and actions taken in billing systems.
Resubmit corrected claims when required.
Escalate unresolved issues to supervisors or clients.
Work on aging reports to reduce outstanding balances.
Meet productivity, quality, and collection targets.
Ensure compliance with HIPAA and client guidelines.
Desired Qualifications
Any graduate qualification is preferred.
Experience with NextGen is preferred.
Summary
An AR Caller is responsible for following up on unpaid or denied medical insurance claims with US insurance companies to ensure timely reimbursement for healthcare providers. The role involves analyzing claim status, resolving denials, identifying payment issues, and reducing accounts receivable aging.
What you'll do
Call US insurance companies to obtain claim status and payment information.
Follow up on outstanding accounts receivable and pending claims.
Investigate denied, rejected, or underpaid claims.
Review Explanation of Benefits (EOB) and Electronic Remittance Advice (ERA).
Document call outcomes and actions taken in billing systems.
Resubmit corrected claims when required.
Escalate unresolved issues to supervisors or clients.
Work on aging reports to reduce outstanding balances.
Meet productivity, quality, and collection targets.
Ensure compliance with HIPAA and client guidelines.