Claims Specialist (AR Calling)

Responsible for contacting insurance companies and patients to follow up on outstanding medical claims and ensure accurate reimbursement. This process involves navigating complex billing and coding rules, and AR callers often play a critical role in denial management.

AR Caller's Role in Denial Management :

Follow-up and Resolution :

AR callers initiate calls to insurance companies to inquire about the status of denied claims.

Documentation :

They maintain thorough records of all interactions and follow-up actions.

Re-submittal :

They may be involved in re-submitting claims with corrected information or appealing denials.

Communication :

They communicate with patients and internal stakeholders about denial statuses and resolution efforts.

Denial Management and Healthcare Providers :

Increased Revenue :

Effective denial management, including AR calling, helps healthcare providers recover more revenue from claims.

Reduced Turnaround Time :

Speeding up the revenue cycle through denial management and AR calling can improve cash flow.

Improved Patient Relationships :

AR callers often communicate with patients to explain denial reasons and ensure they understand the process.