Job Description
Key Responsibilities:
AR Caller:
- Call insurance companies (Payers) to follow up on unpaid or denied claims
- Review claim status, resolve denials or rejections, and escalate unresolved issues
- Understand insurance guidelines, CPT codes, and denial reason codes
- Document call details and update the system with proper status
- Meet daily call volume and productivity targets
Pre-Authorization Executive:
- Verify patient eligibility and insurance benefits (EVBV)
- Obtain pre-authorizations and prior approvals from insurance companies
- Follow up with insurance and providers to ensure approvals are received in time
- Maintain logs and documentation for audits and compliance
- Coordinate with billing and scheduling teams to ensure timely services
Eligibility Criteria:
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