Roles and Responsibilities :
- Initiate calls to insurance companies to obtain information on outstanding claims.
- Follow up on pending claims and ensure timely resolution of denials or rejections.
- Understand the medical billing process, insurance guidelines, and AR management principles.
- Verify claim status, handle escalations, and document outcomes accurately.
- Resolve billing discrepancies and identify reasons for delayed or denied payments.
- Collaborate with team members to prioritize and process accounts efficiently.
- Adhere to HIPAA and company compliance guidelines while handling patient information.
- Maintain productivity standards, quality metrics, and turnaround time.
- Provide clear and concise updates on accounts and escalate unresolved issues to supervisors.
- Stay updated with insurance policies and changes in medical billing regulations.
Skills and Qualifications :
1-5 years of experience in AR calling / medical billing.Strong communication and negotiation skills.Knowledge of insurance policies (Medicare, Medicaid, and Commercial).Proficiency in MS Office and billing software tools.Ability to handle pressure and meet deadlines.Attention to detail with strong analytical and problem-solving skills.Skills Required
Us Voice Process, Ar Calling, Rcm, Denial Management