AR Caller

Job Type: Full time

Location: Tamil Nadu, India

Job Responsibilities

• Investigate claim rejections or denials, identify root causes, and take corrective actions to resolve issues and resubmit claims.
• Track outstanding accounts and work to reduce aging AR through timely follow-ups
• Should met the standard quality of above 98 % and quantity of 100%
• Report to team leaders about inventories.
• Ensure adherence to healthcare regulations, payer policies, and internal guidelines to maintain the accuracy and integrity of the billing process.

Daily Routine

• Planning the day Prioritizing the tasks
• Active participation in Daily Huddles
• Handling tickets
• Need to take action for Sec Rejections/Denials
• AR Activity (Follow-up, Attention Required, No Resp, etc,.)
• Need to send EOD status to Team leader
• Need to initiate the call to the payers and obtain the required information.

Weekly Routine

• Preparing AR clarifications
• Secondary claims review Submission
• Weekly meeting with Team leader/Manager
• Weekly denials trend analysis

Monthly Routine

• Updating company scorecards
• Small Balance Adjustment
• AR Clarification/UC claims list preparation
• Redzone clients status update.

Skills and Competencies

• Basic technical skills in computer (Word Excel)
• Good written and verbal communication skills
• Ability to explain billing issues to the supervisors clearly and professionally.
• Competency in identifying issues with claim payments or denials and finding solutions.
• Ability to track outstanding receivables and prioritize collections based on aging.

Qualifications

• Any Degree and above.
• 2+ years experience End-to-end process in RCM.
• Knowledge in our Major PMS (IMS/eCW
• Typing Skills (30 WPM with >95% Accuracy)

Key Performance Indicators

• Quality % -> >=98%
• Quantity % (Productivity) - 100%

Disclaimer: This job posting has been aggregated from external source. Role details, content, and availability are subject to change. Applicants are advised to confirm the latest information directly on the company website before applying.