Job Description (AR Caller / Hospital Billing):
- Follow up with US insurance payers (Medicare, Medicaid, Commercial).
- Review and resolve unpaid, denied, or rejected claims.
- Resubmit corrected claims (UB-04) with appropriate codes and modifiers.
- Contact insurance companies to check claim status, documentation requirements, or payment delays.
- Handle denials including CO, PR, and OA categories.
- Prepare and submit appeals with supporting medical documentation.
- Review EOB/ERA for underpayments and take corrective actions.
- Maintain accurate account notes in the billing system.
- Achieve daily/weekly productivity and quality targets.
- Ensure HIPAA compliance in all activities.
Required Skills:
- Strong experience in Hospital Billing AR follow-up.
- Good understanding of UB-04, revenue codes, modifiers, CPT, and ICD-10.
- Knowledge of US healthcare payers and insurance guidelines.
- Familiarity with EMR/Billing software such as Epic, Cerner, Meditech, Athena, NextGen, etc.
- Excellent verbal and written communication skills.
- Ability to analyze denials and resolve issues efficiently.
Mode of Interview: Walk-in or Virtual
Contact Person
Nivetha 8428000331
Email To address : [Confidential Information]
