AR Caller Work with Multinational Consumers Job Description: An essential part of the medical billing cycle is the AR Caller, who follows up with insurance companies to settle unpaid or rejected claims. Your main goal is to reduce "Days in AR" and increase healthcare providers' earnings. This entails negotiating over the phone with payers in a professional manner, navigating intricate insurance systems, and determining the underlying reasons why claims are denied. The ideal applicant is tenacious, meticulous, and well-versed in the US healthcare system, including CPT/ICD-10 coding and HIPAA rules.

Key Duties: Insurance Follow-up: Make proactive calls to insurance companies (Payers) about unpaid claims that are past the typical 30-day payment deadline. Denial Management: Examine Electronic Remittance Advice (ERA) and Explanation of Benefits (EOB) to determine the reasons behind a claim's denial. Appeal Processing: Create and file official appeals for rejected claims, supplying the required medical records to support reimbursement. Verify that payments are made at the agreed-upon rates and take care of any underpayments or "silent PPO" problems. Patient Communication: Periodically get in touch with patients to clarify their financial obligations (deductibles and co-pays) or to update insurance information. Compliance: To protect the confidentiality and security of Protected Health Information (PHI), closely follow HIPAA regulations.

We invite you to apply and explore this exciting opportunity! Warm Regards, HR - Maria 88708 33430 infohrmaria04@gmail.com »