Senior Executive / Executive

Access Healthcare; Dadri; On-site; INR 300,000 - 420,000; Full time

Job summary

Access Healthcare is seeking an AR Caller to handle accounts receivable follow-up for US healthcare providers. You will contact US insurance companies regarding unpaid, pending, denied, and underpaid medical claims to ensure timely reimbursement and improve collections.

Role focuses on aging buckets, claims status checks, and resubmissions while adhering to HIPAA guidelines and internal policies.

Responsibilities

• Make outbound calls to US insurance companies to follow up on outstanding medical claims.
• Check claim status, payment status, and denial reasons.
• Work on AR aging buckets, including 30, 60, 90, and 120+ days.
• Investigate rejected, denied, and underpaid claims.
• Review EOBs (Explanation of Benefits) and ERAs (Electronic Remittance Advice).
• Identify issues related to eligibility, authorization, coding, modifiers, and timely filing.
• Coordinate claim corrections, resubmissions, and appeals as per payer guidelines.
• Follow up on claims pending beyond the expected processing time.
• Maintain accurate call notes, payer reference numbers, and follow-up dates.
• Meet daily productivity, quality, and collection targets.
• Follow HIPAA guidelines and company policies.

Job description

Job Summary:

We are looking for an AR Caller to handle accounts receivable follow-up for US healthcare providers. The role involves contacting US insurance companies regarding unpaid, pending, denied, and underpaid medical claims to ensure timely reimbursement and improve collections.

Roles and Responsibilities

• Make outbound calls to US insurance companies to follow up on outstanding medical claims.
• Check claim status, payment status, and denial reasons.
• Work on AR aging buckets, including 30, 60, 90, and 120+ days.
• Investigate rejected, denied, and underpaid claims.
• Review EOBs (Explanation of Benefits) and ERAs (Electronic Remittance Advice).
• Identify issues related to eligibility, authorization, coding, modifiers, and timely filing.
• Coordinate claim corrections, resubmissions, and appeals as per payer guidelines.
• Follow up on claims pending beyond the expected processing time.
• Maintain accurate call notes, payer reference numbers, and follow-up dates.
• Meet daily productivity, quality, and collection targets.
• Follow HIPAA guidelines and company policies.