AR Caller ( Denial Management )

Job Overview

We are seeking a Junior AR Caller for Denial Management to join our team in Hyderabad. The ideal candidate will possess 1 to 3 years of relevant experience. This full-time position involves addressing denials and working to resolve issues related to payment discrepancies and insurance claims.

Qualifications and Skills

• Proven experience in accounts receivable (AR) calling, preferably within the healthcare sector, for 1 to 3 years.
• Strong knowledge of denial management processes and the ability to investigate and resolve claim issues efficiently.
• Familiarity with healthcare insurance terms, processes, and regulations, particularly in handling payment denials and appeals.
• Excellent communication skills, both verbal and written, to effectively interact with insurance companies and internal teams.
• Detail-oriented with a strong aptitude for data analysis and problem-solving, enabling precise identification of claim discrepancies.
• Ability to work independently as well as collaboratively within a team to ensure timely resolutions of outstanding AR balances.
• Proficiency in using billing software and Microsoft Office applications for documentation and reporting purposes.
• Must have excellent time management skills to prioritize tasks and manage workload efficiently against deadlines.

Roles and Responsibilities

• Review and analyze denied claims to determine the reasons for denial and develop strategies to resolve them effectively.
• Contact insurance companies to address and rectify issues with denied claims, ensuring accurate collection and payment.
• Collaborate with internal teams, including billing, to gather necessary documentation for claim resolution.
• Maintain detailed and comprehensive records of claim decisions, resolutions, and communications with insurance entities.
• Monitor outstanding claims and follow-up systematically to ensure timely and efficient denial resolution.
• Identify trends and provide feedback to management on recurring denial issues to prevent future occurrences.
• Assist in creating and implementing process improvements to enhance the efficiency of AR collections and denial management.
• Prepare reports on the status of denials and resolutions to inform management of progress and areas needing attention.