Healthcare Claims Specialist

Responsible for contacting insurance companies and patients to follow up on outstanding medical claims and ensure accurate reimbursement. This process involves navigating complex billing and coding rules, and AR callers often play a critical role in denial management.

AR Caller's Role in Denial Management :

• Follow-up and Resolution :
• AR callers initiate calls to insurance companies to inquire about the status of denied claims.
• Documentation :
• They maintain thorough records of all interactions and follow-up actions.
• Re-submittal :
• They may be involved in re-submitting claims with corrected information or appealing denials.
• Communication :
• They communicate with patients and internal stakeholders about denial statuses and resolution efforts.

Denial Management and Healthcare Providers :