AR Caller US Healthcare

Roles & Responsibilities:

• Perform eligibility and benefits verification for procedures, treatments, and hospitalizations.
• Review and prepare claims for accuracy, compliance, and completeness before submission.
• Transmit claims using billing software, including electronic and paper claim processing.
• Follow up on unpaid or underpaid claims within standard billing timelines.
• Contact insurance companies for payment discrepancies and clarification if needed.
• Identify and bill secondary and tertiary insurances as applicable.
• Research and appeal denied or rejected claims to ensure maximum reimbursement.
• Update cash posting spreadsheets and generate collection reports.
• Monitor accounts for insurance follow-up and work on aging reports.
• Ensure compliance with HIPAA and internal data confidentiality standards.

Required Skills:

• Minimum 3 years of hands-on experience in Medical Billing / AR Calling / RCM.
• Strong knowledge of insurance types (Medicare, Medicaid, HMO, PPO, etc.).
• Familiarity with CPT, ICD-10 codes and standard billing practices.
• Experience handling claim denials, appeals, and collections.
• Proficiency with medical billing software and practice management systems.
• Understanding of HIPAA regulations and patient confidentiality procedures.
• Strong problem-solving, multitasking, and communication skills.
• Ability to work independently and manage time efficiently.