AR Callers, Prior Auth, EVBV Process

Key Responsibilities:

• Contact insurance companies (via outbound calls) to follow up on unpaid or denied claims.
• Review and analyze EOBs (Explanation of Benefits) and identify reasons for denials or delays.
• Take corrective actions—resubmissions, appeals, or adjustments—based on payer responses.
• Update billing software with clear notes on call outcomes and claim status.
• Meet daily productivity and quality benchmarks.
• Follow HIPAA guidelines and maintain compliance at all times.

Requirements:

• Good spoken English (US accent preferred).
• Understanding of US healthcare terms and insurance types (Medicare, Medicaid, commercial).
• Experience in AR calling / denial management preferred (freshers can be trained).
• Strong attention to detail and time management skills.

2. Role: Prior Authorization Executive

Key...