Junior AR Caller – Physician Billing Job Description Duties: Professional Claim Follow-up: Make a lot of outgoing calls to government and commercial insurance companies to look into overpaid, delayed, or pending medical claims. Physician Aging Inventory Management: Prioritize high-value clinician bills and urgent filing-limit deadlines by reviewing and auditing pending claims that are in the 30, 60, 90, and 120+ day aging buckets. Outpatient DenialResolution: Examine verbal or electronic claim denials and address common mistakes in the call loop, such as basic plan eligibility flaws, coordination of benefits difficulties, or mismatches in demographics. Real-Time Account Documentation: Record call tracking numbers, representative names, and clear resolution deadlines in your thorough, step-by-step notes of every communication you have with insurance agents within the Practice Management software. HIPAA Protocol Enforcement: Verify security checkpoints with insurance agents before disclosing any Protected Health Information, making sure that US HIPAA privacy regulations are strictly followed.

Focus Skills: Perfect Verbal Articulation: Clear telephone etiquette specific to business-to-business settings, professional terminology, and strong spoken English with neutral diction. CPT, ICD-10, and Modifier Awareness: To prevent improper bundle denials, one must have a functional awareness of outpatient codes and know how to properly apply physician modifiers. Persuasive Phone Etiquette: The capacity to guide phone calls, professionally confront ambiguous payer delay policies, and get insurance agents to provide specific re-adjudication dates. System Navigation Agility: The degree of ease with which one may switch between intricate Practice Management (PM) screens, clearinghouse dashboards, and various insurance online portals while on the phone. Target-Driven Endurance: Strong mental toughness to handle long wait times while on hold and sustain a steady, effective call pattern during the shift.

Apply now to become an integral part of our growing team! With Regards, HR - Maria 88708 33430 infohrmaria04@gmail.com »