Hiring Experienced AR callers

Greetings From Savista!!

Hiring Experienced AR caller to manage and analyze US healthcare receivables. The role focuses on maximizing collections, resolving aged AR, and ensuring timely followup with insurance

Roles & Responsibilities:

• Follow up with US insurance companies on outstanding medical claims on behalf of physicians/providers.
• Prioritize claims from aging buckets as per defined strategies.
• Analyze claim status and execute corrective actions with payers to secure payments.
• Review claims that are unbilled, in process, pending, paid, or denied.
• Transfer balances appropriately to patient responsibility when applicable.
• Request Explanation of Benefits (EOB) when claims are marked as paid but documentation is unavailable.
• Accurately document all actions taken on accounts to ensure continuity.

Claims Review & Documentation

• Review previous notes, actions taken, and medical history prior to payer calls.
• Validate insurance details provided by patients and correct inaccuracies.
• Ensure accuracy and integrity of all documentation in patient account records.
• Identify coding issues, denial reasons, and additional information requirements, and route to concerned teams.

Aging Analysis & Trend Identification

• Identify reasons for delayed or insufficient payments.
• Document aging trends and escalate recurring issues to supervisors.
• Support management with insights on AR improvement opportunities.

Compliance & Quality Standards

• Adhere to HIPAA regulations and company confidentiality policies.
• Meet daily, weekly, and monthly productivity and quality targets.
• Escalate difficult or complex cases in a timely manner.
• Maintain updated knowledge of payer policies, internal procedures, and training materials.

Required Experience & Skills

• Minimum 2+ years of experience in Accounts Receivable (US Healthcare).
• Handson experience with insurance calling and AR followups.
• Strong analytical and rootcause analysis skills.
• Good typing speed and keyboard proficiency.
• Proficiency in MS Excel and MS Office.
• Excellent verbal communication skills.
• Strong documentation and attention to detail.
• Ability to work independently and as a team player.
• Experience is Athena software mandatory

Mode of work: Work From Office

Interested candidates share your resume to [email protected] or whatsapp your resume 8448999197.

Regards,

Jency