Client Partner - Accounts Receivable (AR Caller)

This role is for an Accounts Receivable (AR) Caller who will serve as a Client Partner , primarily responsible for the crucial task of managing and resolving outstanding claims for US healthcare customers through direct communication. The ideal candidate will possess strong verbal communication skills, a keen eye for detail, and a commitment to ensuring timely and accurate revenue recovery.

Responsibilities

• Perform pre-call analysis and verify claim status by directly calling the payer or utilizing IVR / web portal services.
• Maintain meticulous documentation on client software, ensuring a clear audit trail for future reference and facilitating the submission of necessary documentation to insurance companies.
• Accurately record after-call actions and conduct post-call analysis to ensure effective claim follow-up.
• Assess and resolve inquiries, requests, and complaints through calling, striving for first-point resolution for all customer inquiries.
• Provide accurate product / service information by thoroughly researching available documentation, including authorization details, nursing notes, medical documentation on client systems, and interpreting Explanation of Benefits (EOBs) prior to making calls.
• Conduct analysis of accounts receivable (A / R) data to identify reasons for underpayment , track days in A / R, and determine top denial reasons , using appropriate codes for documentation.

Skills

Qualifications

Skills Required

Accounts Receivable, Communication Skills, Call Center Support, Denials management, healthcare industry