Accounts Receivable Caller

Calpion Software Technologies; Bengaluru; Vor Ort; INR 350.000 - 650.000; Vollzeit

Benefits dieser Stelle

Competitive salary

Performance incentives

Career growth opportunities

Health benefits

Zusammenfassung

Calpion Software Technologies in Bengaluru is seeking experienced AR Callers for US Healthcare. The role focuses on hospital and physician billing, following up with insurance on unpaid claims, and ensuring timely reimbursement.

You will analyze denials, review EOBs, initiate appeals, and maintain HIPAA-compliant records while meeting productivity targets in a fast-paced environment.

Qualifikationen

• 1-5 years of experience in US Healthcare AR calling.
• Hands-on experience in Hospital Billing and Physician Billing.
• Knowledge of claim lifecycle, denial management, and payment posting concepts.

Aufgaben

• Follow up on outstanding claims with insurance companies via calls and payer portals.
• Analyze and resolve unpaid, denied, underpaid, or rejected claims.
• Work on Hospital Billing and Physician Billing accounts.
• Review EOBs and identify payment discrepancies.
• Initiate appeals and reprocessing requests for denied claims.
• Ensure compliance with HIPAA and client-specific guidelines.
• Maintain productivity and quality targets as defined by the organization.
• Document claim status and follow-up details in the billing system.
• Coordinate with internal teams to resolve claim-related issues.

Kenntnisse

US Healthcare AR Calling

Hospital Billing

Physician Billing

Denial management

HIPAA compliance

Communication skills

Target oriented

Ausbildung

Bachelor's degree or Graduation in any discipline

Tools

EMR/EHR platforms

Billing software

Jobbeschreibung

We are seeking experienced AR Callers with strong knowledge of Hospital Billing and Physician Billing processes in the US Healthcare domain. The candidate will be responsible for following up with insurance companies on unpaid claims, identifying denial reasons, and ensuring timely reimbursement.

Key Responsibilities

• Follow up on outstanding claims with insurance companies via calls and payer portals.
• Analyze and resolve unpaid, denied, underpaid, or rejected claims.
• Work on both Hospital Billing and Physician Billing accounts.
• Review EOBs (Explanation of Benefits) and identify payment discrepancies.
• Initiate appeals and reprocessing requests for denied claims.
• Ensure compliance with HIPAA and client-specific guidelines.
• Maintain productivity and quality targets as defined by the organization.
• Document claim status and follow-up details accurately in the billing system.
• Coordinate with internal teams to resolve claim-related issues.

Required Skills

• 1-5 years of experience in US Healthcare AR Calling.
• Hands-on experience in Hospital Billing and Physician Billing.
• Strong knowledge of claim lifecycle, denial management, and payment posting concepts.
• Familiarity with Medicare, Medicaid, and Commercial Insurance payers.
• Experience handling denials, appeals, and account receivable follow-up.
• Good communication and analytical skills.
• Ability to work in a fast-paced environment and achieve targets.

Preferred Qualifications

• Graduate in any discipline.
• Experience working with major EMR/EHR or medical billing platforms.
• Knowledge of CPT, ICD-10, and HCPCS coding concepts is an added advantage.

Benefits

• Competitive salary
• Incentives based on performance
• Career growth opportunities
• Health and employee benefits