Hiring Soon ! Physician Billing and Hospital Billing - Denial Management

Roles & Responsibilities – AR Caller

• Follow up with insurance companies on outstanding and unpaid claims via calls or payer portals. 

• Analyze and resolve denied, rejected, or underpaid claims by identifying root causes and taking corrective actions. 

• Initiate and track appeals and claim resubmissions to ensure maximum reimbursement.

• Review aging reports and prioritize accounts to reduce AR days and improve collections.

• Maintain accurate documentation of calls, claim status, and actions in billing systems. 

• Coordinate with billing, coding, and internal teams to resolve discrepancies and correct claim errors.

• Verify insurance eligibility, benefits, and coverage details when required. 

• Communicate effectively with insurance representatives to negotiate payments and resolve issues. 

• Ensure compliance with healthcare regulations and payer guidelines during claim follow-ups. 

• Meet daily productivity targets, including call volumes and collection goals. 

• Identify trends in denials and provide process improvement suggestions to enhance billing efficiency.