AR caller - Denial Management

Black And White Business Solutions is seeking a skilled AR Caller - Denial Management to join our team. This role is crucial for managing and resolving insurance claim denials efficiently. The ideal candidate will have a strong understanding of denial reasons and appeal processes, coupled with excellent communication and problem-solving skills, to ensure maximum revenue recovery and seamless operations.

Must Have Skills

• Experience as an AR Caller in Denial Management : Proven background in Accounts Receivable (AR) calling, specifically focused on the resolution of denied claims.
• Good understanding of denial reasons (CO, OA, PR codes) and appeal processes : In-depth knowledge of common denial codes (Contractual Obligation, Other Adjustments, Patient Responsibility) and the ability to navigate complex appeal procedures.
• Familiarity with healthcare insurance terminology, CPT / ICD coding basics : Basic understanding of terms used in healthcare insurance and foundational knowledge of CPT (Current Procedural Terminology) and ICD (International Classification of Diseases) coding.
• Strong analytical and problem-solving skills : Ability to thoroughly analyze denied claims, identify root causes, and develop effective strategies for resolution.
• Excellent communication skills (both verbal and written) : Clear and professional communication to interact effectively with insurance companies and document interactions.
• Proficiency in working with RCM software / tools like EPIC, Athena, eClinicalWorks, etc. : Hands-on experience with popular Revenue Cycle Management (RCM) software and tools to manage claims and denials.
• Typing speed of at least 30 WPM with accuracy : Efficient typing skills to ensure quick and accurate data entry and documentation.
• Ability to multitask and meet deadlines under pressure : Capability to handle multiple denied claims simultaneously and ensure timely resolution within set targets.

Good to Have Skills

Roles and Responsibilities

Qualification

CTC Range

Notice Period

Interview Mode

Contact : Amala Subject Matter Expert Black and White Business Solutions Pvt Ltd Bangalore, Karnataka, INDIA. Direct Number : 080-67432406 Email : [HIDDEN TEXT] | Website : www.blackwhite.in

Skills Required

Denial Management, insurance background , Problem-solving, Communication Skills, Typing Skill, Root Cause Analysis