Key Responsibilities :
- Call insurance companies (outbound calls) to follow up on pending or denied claims.
- Analyze and understand EOBs (Explanation of Benefits) and denial codes .
- Take appropriate actions such as appeals, re-submissions, or escalations.
- Meet daily / weekly productivity targets and quality benchmarks (accuracy ≥95%).
- Update internal billing systems with clear and concise notes on claim status.
- Follow HIPAA guidelines and client-specific protocols during interactions.
- Coordinate with the team and supervisors for escalations or complex cases.
Eligibility Criteria :
Education : Any graduate (Life Sciences or Healthcare background preferred).Experience :Freshers with excellent communication skills are welcome.Experienced candidates (1–3 years) in AR Calling / Denial Management preferred.Communication Skills : Excellent spoken English with a neutral or US accent.Technical Skills : Basic knowledge of MS Excel, medical billing software (e.g., Kareo, Athena, NextGen), and EMR / EHR systems.Skills Required
EOBS, Compliance with HIPAA regulations, Ms Excel, nextgen