Job Description

Job Description (AR Caller / Hospital Billing):


  • Follow up with US insurance payers (Medicare, Medicaid, Commercial).
  • Review and resolve unpaid, denied, or rejected claims.
  • Resubmit corrected claims (UB-04) with appropriate codes and modifiers.
  • Contact insurance companies to check claim status, documentation requirements, or payment delays.
  • Handle denials including CO, PR, and OA categories.
  • Prepare and submit appeals with supporting medical documentation.
  • Review EOB/ERA for underpayments and take corrective actions.
  • Maintain accurate account notes in the billing system.
  • Achieve daily/weekly productivity and quality targets.
  • Ensure HIPAA compliance in all activities.


Required Skills:

  • Strong experience in Hospital Billing AR follow-up.
  • Good understanding of UB-04, revenue codes, modifiers, CPT, and ICD-10.
  • Knowledge of US healthcare payers and insurance guidelines.
  • Familiarity with EMR/Billing software such as Epic, Cerner, Meditech, Athena, NextGen, etc.
  • Excellent verbal and written communication skills.
  • Ability to analyze denials and resolve issues efficiently.


Mode of Interview: Walk-in or Virtual

Contact Person

Nivetha


Email To address :


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