Job Description

Roles and Responsibilities:

  • Review and analyze insurance claims that are unpaid or underpaid.
  • Initiate outbound calls to insurance companies (payers) in the US to resolve outstanding A/R.
  • Understand and interpret Explanation of Benefits (EOBs) and denial reasons.
  • Identify and resolve billing and coding issues affecting claims.
  • Document all activities in the system following company protocols.
  • Meet daily/weekly productivity and quality targets.
  • Collaborate with the team to ensure continuous improvement and process efficiency.
  • Follow compliance guidelines and maintain patient confidentiality.

Requirements:

  • Minimum 1 year of experience in AR Calling (US Healthcare).
  • Excellent communication skills in English.
  • Strong knowledge of denials, rejections, and appeals process.
  • Willingness to work in night shifts (US time zone).

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