Accounts Receivable - Hospital Billing

ARStrat LLC; Bengaluru; On-site; INR 400,000 - 700,000; Full time

Job summary

ARStrat LLC is seeking a billing/claims support professional in Bengaluru to monitor aging reports, communicate with payers, and manage denials. The role involves appealing denied claims, contacting patients for balance collection, and maintaining meticulous documentation for audits.

The candidate will coordinate across teams to ensure timely payments and accurate record-keeping, with a focus on payer guidelines and patient accountability.

Responsibilities

• Claim Tracking: Monitor aging reports and work queues to identify unpaid invoices or claims past 30, 60, or 90 days.
• Payer Communication: Contact insurance companies or clients via phone, email, and online portals to verify claim status and reasons for payment delays.
• Denial Management: Investigate rejected claims, identify root causes (e.g., coding errors, missing information), and resubmit corrected claims.
• Appeals Processing: Prepare and submit technical appeals for denied or underpaid claims based on specific payer guidelines.
• Patient Collections: When insurance does not cover the full balance, reach out to patients to explain their responsibility and establish payment plans.
• Detailed Documentation: Maintain accurate records of all interactions, including contact names, dates, and account notes for future audits

Job description

• Claim Tracking: Monitor aging reports and work queues to identify unpaid invoices or claims past 30, 60, or 90 days.
• Payer Communication: Contact insurance companies or clients via phone, email, and online portals to verify claim status and reasons for payment delays.
• Denial Management: Investigate rejected claims, identify root causes (e.g., coding errors, missing information), and resubmit corrected claims.
• Appeals Processing: Prepare and submit technical appeals for denied or underpaid claims based on specific payer guidelines.
• Patient Collections: When insurance does not cover the full balance, reach out to patients to explain their responsibility and establish payment plans.
• Detailed Documentation: Maintain accurate records of all interactions, including contact names, dates, and account notes for future audits