Accounts Receivable Caller

Ascent Business Solutions; Nagpur District; On-site; INR 350,000 - 600,000; Full time

Job summary

Ascent Business Solutions in Nagpur seeks Associate / Senior Associate - AR to join its accounts receivable team. You will handle denial management, eligibility verification, and claim submissions for insurance reimbursements, working as an individual contributor in a night-shift aligned process.

Responsibilities include pre-call analysis, documenting on client systems, and coordinating with payers to resolve denials, while maintaining HIPAA-compliant communications and accurate audit trails.

Qualifications

• 1–5 years of experience in accounts receivable/billing.
• Graduation in any stream.
• Knowledge of denial management and eligibility verification.
• Strong communication and Excel/MS Office skills.

Responsibilities

• Perform pre-call analysis and check status by calling the payer or using IVR or web portal services
• Provide accurate claim information to payer rep, research available documentation including authorization, nursing notes, medical records on client's systems, interpret explanation of benefits received etc. prior to making calls
• Initiate calls requesting status of claims in queue by following the international norms / rules for confidentiality and HIPAA compliance
• To prioritize the pending / overdue tasks for calling / working from the aging basket
• Contact insurance companies for further explanation of denials and underpayments
• Maintain adequate documentation on the client software to send necessary documentation to insurance companies and maintain a clear audit trail for future reference
• Routing denials to the correct department and take appropriate action on claims to guarantee resolution
• Perform analysis of accounts receivable data and understand the reasons for underpayment, days in AR, top denial reasons, use appropriate codes to be used in documentation of the reasons for denials / underpayments

Skills

AR

Denial Management

Eligibility verification

Prior-Authorization

Claim Submissions

Rejections

Correspondence

Communication skills

Excel / MS Office

Education

Any Graduation

Tools

ECW

NextGen

Advance MD

All Scripts

Job description

Role & responsibilities

Ascent Business Solutions.

Job Title Associate / Senior Associate - AR

Job Location: Nagpur

Qualification: Any Graduation

Experience Range: 1-5 years

Level: Individual contributor (Team Member)

Shift Timings: Night Shift (EST / CST / PST)

Job Description:

This function is very critical to optimize client revenue recovery and increase the cash inflow. It is a process where unpaid / denied claims are re-worked and corrected to receive the entitled reimbursement from the Insurance companies. It takes articulate professionals to communicate with insurance companies to settle disputed claims.

Roles and Responsibilities:

• Perform pre-call analysis and check status by calling the payer or using IVR or web portal services
• Provide accurate claim information to payer rep, research available documentation including authorization, nursing notes, medical records on client's systems, interpret explanation of benefits received etc. prior to making calls
• Initiate calls requesting status of claims in queue by following the international norms / rules for confidentiality and HIPAA compliance
• To prioritize the pending / overdue tasks for calling / working from the aging basket
• Contact insurance companies for further explanation of denials and underpayments
• Maintain adequate documentation on the client software to send necessary documentation to insurance companies and maintain a clear audit trail for future reference
• Routing denials to the correct department and take appropriate action on claims to guarantee resolution
• Perform analysis of accounts receivable data and understand the reasons for underpayment, days in AR, top denial reasons, use appropriate codes to be used in documentation of the reasons for denials / underpayments

Technical Expertise:

• Core Expertise on AR, Denial Management, Eligibility verification, Prior-Authorization, Claim Submissions, Rejections, Correspondence
• Expertise in PMS (ECW, NextGen, Advance MD, All Scripts) will be preferred - Ascent will provide training on the client's medical billing software as part of the training
• Capable of task execution based on work instructions
• Good Communication Skills - Verbal and written
• Proficiency in Excel - MS Office
• Adapting to new situation & challenges whenever required