AR Caller (Hospital Billing)

Perform detailed pre-call analysis to identify root causes of unpaid or underpaid claims

Contact insurance payers via calls, IVR, or web portals for claim status and resolution

Handle claim denials and aged accounts by identifying issues and suggesting corrective actions

Accurately document claim activities in client systems for compliance and audit purposes

Analyze Explanation of Benefits (EOBs), medical records, and payer communications

Prepare and submit appeals for denied or underpaid claims within defined timelines

Track high-value and aged claims until closure

Collaborate with internal teams to improve process efficiency and data accuracy

Ensure compliance with HIPAA, ERISA, and payer-specific guidelines

Support audits and mentor junior team members for performance improvement