AR Caller Sales Cycle Tracking Expertise
Candidate Application:
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Candidate Category: Fresher / Experienced
Willingness to Relocate: Yes / No

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Job Description:
Responsibilities:
Insurance Follow-Up & Outstanding Claim Resolution: To find out the status of outstanding, outdated, or unpaid medical claims, make daily outbound calls and use web portals to verify with commercial and government insurance payers.
Claims Appeals & Denial Management: Examine denial codes, underpaid line items, and claim rejections; create official appeal letters with accompanying medical records to reverse incorrect payer rejections.
EOB/ERA Analysis & Rejection Troubleshooting: Examine Electronic Remittance Advices and Explanation of Benefits to confirm accurate payment amounts, contractual write-offs, copays, deductibles, and co-insurance allocations.
Rebilling and Claim Adjustments: Correct and resubmit clean claims to payers using electronic clearinghouses or paper forms after identifying coding errors, missing modifiers, inaccurate patient demographics, or out-of-date insurance eligibility information.

Required Skills:
US Healthcare Revenue Cycle & AR Follow-Up Mastery: In-depth practical understanding of the whole US Revenue Cycle Management (RCM) process, including insurer follow-up procedures, clearinghouse modifications, EOB/ERA interpretation, and claim submission.
Insurance Payer Rules & Denial Code Literacy: Extensive knowledge of standard Adjustment Reason Codes (CARCs) and Remittance Advice Remark Codes (RARCs), as well as key US commercial and government insurance regulations (Medicare, Medicaid, BCBS, UHC, Aetna, and Cigna).
Payer Phone Communication & Negotiation: To successfully negotiate with insurance claims agents and supervisors, one must possess clear, eloquent English communication skills both orally and in writing, as well as strong assertiveness.
Software & Clearinghouse for Medical Billing Knowledge: Practical knowledge with clearinghouses, Practice Management (PM) systems, and medical billing software (Availity, Change Healthcare).

Experience: 0 to 3 yrs
Salary: Best in the Industries

Immediate Joiner Mostly Preferred
Interested Candidates Contact the HR ASAP
Warm Regards,
HR - Maria
88708 33430
infohrmaria04@gmail.com