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AR Caller – US Healthcare

ConfidentialHyderabad / Secunderabad, Telangana

20 days ago

Job description

Roles & Responsibilities :

Perform eligibility and benefits verification for procedures, treatments, and hospitalizations.
Review and prepare claims for accuracy, compliance, and completeness before submission.
Transmit claims using billing software, including electronic and paper claim processing .
Follow up on unpaid or underpaid claims within standard billing timelines.
Contact insurance companies for payment discrepancies and clarification if needed.
Identify and bill secondary and tertiary insurances as applicable.
Research and appeal denied or rejected claims to ensure maximum reimbursement.
Update cash posting spreadsheets and generate collection reports .
Monitor accounts for insurance follow-up and work on aging reports.
Ensure compliance with HIPAA and internal data confidentiality standards.

Required Skills :

Minimum 3 years of hands-on experience in Medical Billing / AR Calling / RCM .

Strong knowledge of insurance types (Medicare, Medicaid, HMO, PPO, etc.).

Familiarity with CPT, ICD-10 codes and standard billing practices.

Experience handling claim denials, appeals, and collections .

Proficiency with medical billing software and practice management systems .

Understanding of HIPAA regulations and patient confidentiality procedures.

Strong problem-solving, multitasking, and communication skills.

Ability to work independently and manage time efficiently.

Skills Required

Analytical Skills, insurance verification, Regulatory Compliance, Accounts Receivable, Data Entry, Denial Management, Medical Coding, Claims Processing, revenue cycle

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Ar Caller • Hyderabad / Secunderabad, Telangana