Role Summary:
- Meet quality and productivity standards.
- Contact insurance companies for further explanation of denials and underpayments.
- Work with multiple denials and take appropriate action to guarantee resolution.
- Ensure accurate and timely follow-up where required.
- Work across all AR cycles and AR scenarios.
- Handle appeals, refiling, and denial management.
- Call insurance companies in the USA on behalf of physicians and follow up on outstanding accounts receivable.
- Resolve billing issues that have resulted in delayed payment.
Requirements
Required Skills & Competencies:
Skill Area | Expected Competency |
AR Follow-Up | AR cycles, scenarios, outstanding AR |
Denial Management | Denials, appeals, refiling |
RCM Knowledge | US healthcare revenue cycle |
Communication | Excellent written and oral communication |
Productivity | Quality and productivity standards |
Shift Readiness | Flexible to work night shifts |
- Minimum 1 year of experience in AR calling is an advantage.
- Understanding of Revenue Cycle Management (RCM) for US healthcare providers.
- Basic knowledge of denials and immediate action to resolve them
- Experience across appeals, refiling, and denial management.
- High energy, spontaneity, and flexibility for night shifts
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