Senior AR Caller

TRIARQ; Navi Mumbai; On-site; INR 260,000 - 380,000; Full time

Benefits offered by this job

Home Drop Facility

Free Dinner Facility

5 days working (Mon-Fri)

Performance-based incentives

Shift: 5:30 PM to 2:30 AM

Food provided

Health insurance

Provident Fund

1-way cab (Drop)

Saturday and Sunday Week Off

Job summary

TRIARQ is seeking a candidate for RCM–US Healthcare to perform pre-call analysis, document on client software, and resolve claim inquiries. The role is based in Navi Mumbai (Ghansoli) with night shifts from 5:30 PM to 2:30 AM.

Interested candidates can drop their CVs at [e-mail] or WhatsApp at 9028427833. Requirements include HSC/Graduate in any stream, strong communication and analytical skills, and solid knowledge of medical billing concepts.

Qualifications

• HSC or graduate (any stream) is acceptable.
• Good communication and analytical skills are essential.
• Strong knowledge of medical billing concepts is required.
• Willingness to work night shifts is required.

Responsibilities

• Perform pre-call analysis and check status by calling payer or via IVR/web portal.
• Maintain documentation on client software and ensure audit trail for insurance documentation.
• Record after-call actions and perform post-call analysis for claim follow-up.
• Address inquiries and resolve issues to ensure first-contact resolution.
• Provide accurate product/service information and interpret explanations of benefits before calling.
• Analyze accounts receivable data to identify underpayments and denial reasons, and document them clearly.

Skills

Communication skills

Analytical skills

Medical billing

Education

HSC/Graduate (Any stream)

Job description

Job description:

Industry Type: RCM / US Healthcare

Location: Navi Mumbai (Ghansoli)

Division: Revenue Cycle Management (RCM)

Interested candidates can drop their CVs at [e-mail] or WhatsApp at 9028427833.

Job Responsibilities:

• Perform pre-call analysis and check status by calling the payer or using IVR or web portal services.
• Maintain adequate documentation on the client software to send necessary documentation to insurance companies and maintain a clear audit trail for future reference.
• Record after-call actions and perform post-call analysis for the claim follow-up.
• Assess and resolve inquiries, requests, and complaints through calling to ensure that customer inquiries are resolved at the first point of contact.
• Provide accurate product/service information to the customer; research available documentation, including authorization, nursing notes, and medical documentation on the client's systems; and interpret explanations of benefits received, etc., prior to making the call.
• Perform analysis of accounts receivable data and understand the reasons for underpayment, days in AR, and top denial reasons; use appropriate codes to be used in documentation of the reasons for denials / underpayments.

Requirements:

• HSC/bachelor's degree in any discipline.
• Good communication and analytical skills.
• Strong knowledge of medical billing concepts.
• Ready to work in night shifts.

Education: HSC/Graduate (Any stream)

Shift: Night shift

Perks and benefits:

• Home Drop Facility, Free Dinner Facility
• 5 days working (Monday to Friday),
• Performance-based incentives
• Shift: 5:30 PM to 2:30 AM

Benefits

• Food provided
• Health insurance
• Provident Fund
• 1-way cab (Drop)
• Saturday and Sunday Week Off