Summary An AR Caller is responsible for following up on unpaid or denied medical insurance claims with US insurance companies to ensure timely reimbursement for healthcare providers. The role involves analyzing claim sta…
Skills: Medical Billing, AR Calling, Claims Analysis, Denial Management, HIPAA Compliance
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Full-time
bachelor degree
Posted 4d ago
~40 hrs/week
Responsibilities
The AR Caller follows up with US insurance companies to resolve unpaid or denied medical claims and reduce accounts receivable aging. Responsibilities include analyzing claim status, documenting outcomes, and resubmitting corrected claims to ensure timely reimbursement.
Requirements
Candidates should have over 3 years of experience in calling for Workers Comp claims and refunds, with preference for NextGen software proficiency. A graduate degree and strong communication skills are required.
Full job description
Summary
An AR Caller is responsible for following up on unpaid or denied medical insurance claims with US insurance companies to ensure timely reimbursement for healthcare providers. The role involves analyzing claim status, resolving denials, identifying payment issues, and reducing accounts receivable aging.
What you'll do
Call US insurance companies to obtain claim status and payment information.
Follow up on outstanding accounts receivable and pending claims.
Investigate denied, rejected, or underpaid claims.
Review Explanation of Benefits (EOB) and Electronic Remittance Advice (ERA).
Document call outcomes and actions taken in billing systems.
Resubmit corrected claims when required.
Escalate unresolved issues to supervisors or clients.
Work on aging reports to reduce outstanding balances.
Meet productivity, quality, and collection targets.
Ensure compliance with HIPAA and client guidelines.
What you have
Any Graduate (preferred)
Good Communication
Key Performance Indicators
Number of claims worked per day.
Calls completed per day.
Collection amount recovered.
Reduction in AR aging.
Denial resolution rate.
Quality and compliance scores.
Experience
3+ Years of Experience
Calling of Workers Comp claims and Refunds
Experience in NextGen is preferred
Related keywords
AR CallerMedical InsuranceHealthcare ReimbursementAccounts ReceivableClaim StatusDenial ResolutionEOBERAHIPAANextGenWorkers CompRefundsAging ReportsMedical Billing
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