Senior Ar Caller

Collar Jobskart; Chennai District; On-site; INR 300,000 - 540,000; Full time

Job summary

Collar Jobskart is seeking a Healthcare Claims Specialist to verify patient demographics, insurance eligibility, provider details, CPT, ICD, and modifier information.

You will check claim status through portals or by contacting payers, document denial reasons, and capture the claim/reference numbers and next actions. The role also involves identifying common denials such as eligibility issues and authorization requirements.

Responsibilities

• Verify patient demographics, insurance eligibility, provider details, CPT, ICD, and modifier information.
• Check the claim status through insurance portals or by contacting the payer.
• Contact insurance companies to understand the exact reason for the denial.
• Obtain and document the claim number, reference number, denial reason, and next action
• Identify common denials such as: Eligibility and coverage issues
• Authorization or referral required
• Denials
• Hospital billing

Job description

Role & responsibilities

• Verify patient demographics, insurance eligibility, provider details, CPT, ICD, and modifier information.


• Check the claim status through insurance portals or by contacting the payer.


• Contact insurance companies to understand the exact reason for the denial.


• Obtain and document the claim number, reference number, denial reason, and next action.


• Identify common denials such as:




• Eligibility and coverage issues


• Authorization or referral required


• Denials


• Hospital billing