AR Caller
Total RCM Solutions
- Bangalore, Karnataka
- Permanent
- Full-time
- Make outbound calls to insurance companies to resolve outstanding claims.
- Analyze denied claims and follow up with payers for claim resolution.
- Update the billing system (NextGen/eCW) with accurate and complete notes after each call.
- Review and interpret Explanation of Benefits (EOBs), denials, and remittance advice.
- Work on rejections, appeals, and reconsiderations as needed.
- Maintain productivity and quality metrics as set by the team lead or manager.
- Collaborate with internal teams for accurate coding, billing, and documentation issues.
- Handle patient calls or inquiries related to outstanding balances if required.
- Adhere to HIPAA guidelines and organizational policies.
- 15 years of AR calling experience in the US healthcare industry.
- Proficiency in NextGen and eClinicalWorks (eCW) billing software.
- Strong knowledge of the US healthcare revenue cycle, including claims submission, denials, and follow-ups.
- Excellent verbal and written communication skills.
- Ability to work independently and in a team environment.
- Strong analytical and problem-solving abilities.
- Experience with other practice management or EHR systems is a plus.
- Knowledge of medical terminology and CPT/ICD-10 codes.
- Prior experience in a BPO/KPO or medical billing company preferred.
Expertia AI Technologies