AR Caller - Fresher - Chennai/Mumbai/Ahmedabad

We are looking for an AR Caller - Fresher (Accounts Receivable)& to join our dynamic team. As an AR Caller, you will be responsible for assisting with medical billing and revenue cycle management processes. This is an excellent opportunity to gain hands-on experience in the US healthcare industry while developing your analytical and communication skills.

Key Responsibilities

1. Claims Follow-Up:
   • Call insurance companies (payer organizations) in the U.S. to follow up on outstanding medical claims.
   • Determine the status of claims whether they are approved, pending, denied, or under review.
   • Understand and interpret Explanation of Benefits (EOBs) and Remittance Advice (RA) from payers.
2. Problem Resolution:
   • Identify reasons for claim denials or delays and work toward resolving them.
   • Take appropriate action based on the response received from insurance companies.
   • Initiate re-billing or appeals if necessary and update systems accordingly.
3. Documentation:
   • Accurately document actions taken on claims in the billing software or client database.
   • Update notes with clear and concise details after each call or follow-up action.
4. Coordination:
   • Work closely with team members, quality analysts, and managers to resolve billing and coding issues.
   • Coordinate with the internal team (billing and coding departments) to escalate unresolved issues.
5. Target Achievement:
   • Meet daily/weekly/monthly productivity and quality targets as defined by the team lead or management.
   • Maintain turnaround time and call quality standards while ensuring high levels of accuracy.
6. Compliance:
   • Adhere to HIPAA (Health Insurance Portability and Accountability Act) regulations and confidentiality protocols.
   • Ensure ethical and legal standards are maintained in all interactions and data handling.

Required Skills

• Communication Skills:
  • Excellent spoken English with a neutral or American accent.
  • Good listening skills and ability to understand U.S. customer accents.
• Analytical Ability:
  • Capability to analyze and interpret payer responses.
  • Problem-solving attitude to resolve claim issues.
• Attention to Detail:
  • High level of accuracy in documentation and data entry.
• Typing and Computer Skills:
  • Basic computer knowledge, including MS Office (Word, Excel).
  • Proficiency in using web-based applications and data entry tools.
• Teamwork:
  • Ability to collaborate with peers and supervisors.
  • Willingness to learn and take feedback constructively.

Job Profile : AR Caller - Fresher - ChennaiMumbaiAhmedabad
Industry : BPO, bsc-bca-bbm