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AR Caller ( Denial Management )

AR Caller ( Denial Management )

JobsFlixhyderabad, India
30+ days ago
Job description

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.
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    Ar Caller • hyderabad, India