Walk-in | AR callers - HB | Denials

AGS Health; Chennai District; On-site; INR 300,000 - 540,000; Full time

Benefits offered by this job

Health Insurance

Competitive remuneration

Annual performance-based bonus

Monthly performance-based incentives

Job summary

AGS Health is seeking a Process Associate - AR Caller to drive effective follow-up with insurance carriers and maximize cash flow for hospital billing via Epic.

The role emphasizes phone-based AR resolution, accurate data entry in billing systems, and adherence to SLAs while leveraging available tools to move accounts toward payment and corrected submissions.

Qualifications

• Graduation is mandatory.
• 1–2 years of provider-side AR calling experience in HB.
• Strong communication and billing terminology knowledge.
• Attention to detail and logical thinking required.

Responsibilities

• Address outstanding AR via phone and analysis using available resources.
• Utilize tools and applications to move accounts toward payment, corrected submission, appeals, patient transfer or adjustment.
• Report trends/patterns in denials, submission errors, credentialing issues and roadblocks to the reporting manager.
• Meet the established SLAs for production and quality.
• Update outcomes in the billing system clearly and coherently.
• Stay updated with changes to the P&Ps.
• Improve performance based on feedback from the manager/QA team.

Skills

Verbal & Written Communication

Billing Terminologies

Attention to Detail

Logical Thinking

Education

Graduation

Job description

Dear Candidates,

Greetings from AGS Health!

Job Title: Process Associate - AR Caller

Process: AR caller - Hospital billing (Epic)

Job Summary:

• Ensure quality driven follow-up activities and resolution of accounts is carried out with the insurance carriers on the outstanding inventory to yield maximum cash flow and minimum bad debts.
• Interact by phone and check Internet based portals of the insurance companies in US to procure status of the claim followed by appropriate activities to address open AR.
• The key functions of an AR Executive are to ensure the below responsibilities are carried out to the best of his/her ability in the interest of the organization and client.

Key Responsibilities:

• To address outstanding or assigned AR through phone call and analysis using available resources.
• Utilization of all possible tools and applications available to take account to the next level of resolution, which would result in a payment, corrected submission, appeals, patient transfer or adjustment.
• To report trends / patterns in denials, claim submission errors, credentialing issues and billing related roadblocks to the immediate reporting manager.
• To meet the established SLAs (service level agreements) for production and quality.
• To update the outcome of the calls or analysis in a clear and coherent manner in the billing system.
• To utilize the and stay updated with changes done with the P & Ps
• To improve the performance based on the feedback provided by the reporting manager / quality audit team.

Qualifications:

Education:

• Graduation mandatory

Experience:

• Min.1 year to 2 years of provider side AR calling experience in HB.

Skills:

• Good verbal and written communication skills
• Domain knowledge on various billing terminologies & processes
• Attention to detail
• Logical thinking

Age Criteria: up to 35 years

Benefits:

• Competitive remuneration + annual performance-based bonus
• Monthly performance-based incentives
• Health Insurance

Interview Process:

• HR Interview round
• Assessment based on the scope
• Operations panel round