Roles and Responsibilities:
- Review and analyze insurance claims that are unpaid or underpaid.
- Initiate outbound calls to insurance companies (payers) in the US to resolve outstanding A/R.
- Understand and interpret Explanation of Benefits (EOBs) and denial reasons.
- Identify and resolve billing and coding issues affecting claims.
- Document all activities in the system following company protocols.
- Meet daily/weekly productivity and quality targets.
- Collaborate with the team to ensure continuous improvement and process efficiency.
- Follow compliance guidelines and maintain patient confidentiality.
Requirements:
- Minimum1 year of experiencein AR Calling (US Healthcare).
- Excellent communication skills in English.
- Strong knowledge of denials, rejections, and appeals process.
- Willingness to work in night shifts (US time zone).
- Ability to work independently and meet deadlines.