Senior Ar Caller

Role & responsibilities

• Verify patient demographics, insurance eligibility, provider details, CPT, ICD, and modifier information.

• Check the claim status through insurance portals or by contacting the payer.

• Contact insurance companies to understand the exact reason for the denial.

• Obtain and document the claim number, reference number, denial reason, and next action.

• Identify common denials such as:

• Eligibility and coverage issues

• Authorization or referral required

• Denials

• Hospital billing