AR | Prior Auth | EVBV

AR Caller (Accounts Receivable Caller)

Responsibilities:

• Contact insurance companies to follow up on unpaid/underpaid medical claims.
• Identify the reason for denials and initiate appropriate steps for resolution.
• Document call outcomes and maintain accurate records in the billing system.
• Work on reprocessing or appealing claims as needed.
• Achieve daily call targets and maintain call quality standards.

Requirements:

• Good spoken English and communication skills.
• Familiarity with US insurance terminology (Medicare, Medicaid, Commercial, etc.)
• Prior experience in AR Calling or denial management preferred but not mandatory.

Prior Authorization Executive

Responsibilities:

• Initiate and follow up on prior authorization requests with insurance carriers.
• Coordinate with physicians or clinical staff to gather necessary documentation.
• Submit and track prior auths through payer portals or phone calls.
• Maintain authorization logs and ensure approvals are received on time.
• Update systems with accurate approval/denial details.

Requirements:

• Strong communication and coordination skills.
• Knowledge of CPT codes, medical necessity, and insurance policies preferred.
• Familiarity with tools like Availity, Navinet, and payer-specific portals is a plus.

EVBV Executive (Eligibility & Benefits Verification)

Responsibilities:

• Verify patient insurance coverage by calling payers or using web portals.
• Check eligibility for procedures, visits, or services including copay, deductible, and policy status.
• Document and communicate insurance benefits and coverage accurately.
• Escalate discrepancies or inactive coverage to the billing/client team.
• Ensure verifications are completed within turnaround time (TAT).

Requirements:

• Excellent English comprehension and phone etiquette.
• Understanding of insurance verification process preferred.
• Ability to work on portals such as Availity, Navinet, or insurance websites.