AR Caller

Role & Responsibilities

• Perform pre-call analysis and check status by calling the payer or using IVR or web portal services
• Maintain adequate documentation on the client software to send necessary documentation to insurance companies and maintain a clear audit trail for future reference
• Record after-call actions and perform post-call analysis for the claim follow-up
• Assess and resolve enquiries, requests and complaints through calling to ensure that customer enquiries are resolved at first point of contact
• Provide accurate product/service information to customer, research available documentation including authorization, nursing notes, medical documentation on client's systems, interpret explanation of benefits received, etc. prior to making the call
• Perform analysis of accounts receivable data and understand the reasons for underpayment, days in AR, top denial reasons; use appropriate codes to be used in documentation of the reasons for denials/underpayments.

Preferred Candidate Profile

• Candidates should have experience in denial management
• Having background in handling insurance calls
• Should possess skills to analyze and address denial issues.
• The minimum qualification required is HSC
• Excellent communication skills.