Job Overview
We are seeking a Junior AR Caller for Denial Management to join our team in Hyderabad. The ideal candidate will possess 1 to 3 years of relevant experience. This full-time position involves addressing denials and working to resolve issues related to payment discrepancies and insurance claims.
Qualifications and Skills
- Proven experience in accounts receivable (AR) calling, preferably within the healthcare sector, for 1 to 3 years.
- Strong knowledge of denial management processes and the ability to investigate and resolve claim issues efficiently.
- Familiarity with healthcare insurance terms, processes, and regulations, particularly in handling payment denials and appeals.
- Excellent communication skills, both verbal and written, to effectively interact with insurance companies and internal teams.
- Detail-oriented with a strong aptitude for data analysis and problem-solving, enabling precise identification of claim discrepancies.
- Ability to work independently as well as collaboratively within a team to ensure timely resolutions of outstanding AR balances.
- Proficiency in using billing software and Microsoft Office applications for documentation and reporting purposes.
- Must have excellent time management skills to prioritize tasks and manage workload efficiently against deadlines.
Roles and Responsibilities
Review and analyze denied claims to determine the reasons for denial and develop strategies to resolve them effectively.Contact insurance companies to address and rectify issues with denied claims, ensuring accurate collection and payment.Collaborate with internal teams, including billing, to gather necessary documentation for claim resolution.Maintain detailed and comprehensive records of claim decisions, resolutions, and communications with insurance entities.Monitor outstanding claims and follow-up systematically to ensure timely and efficient denial resolution.Identify trends and provide feedback to management on recurring denial issues to prevent future occurrences.Assist in creating and implementing process improvements to enhance the efficiency of AR collections and denial management.Prepare reports on the status of denials and resolutions to inform management of progress and areas needing attention.