Ar Caller Us Voice Process

2 months ago

Thoraipakkam Chennai Tamil Nadu, India Swami HR Consultant Full time

**Job Title: AR Caller (International Voice Process - US Healthcare Inbound)**

**Responsibilities**:

- **Inbound Call Handling**: Receive incoming calls from patients, insurance companies, and healthcare providers regarding billing inquiries, payment status, insurance coverage, and claim disputes.
- **Patient Assistance**: Assist patients with understanding their medical bills, explaining insurance benefits, and resolving billing discrepancies or issues related to copayments, deductibles, and out-of-pocket expenses.
- **Insurance Coordination**: Liaise with insurance representatives to verify patient eligibility, coverage details, and claim status, and address inquiries related to claim denials, rejections, and appeals.
- **Claims Resolution**: Investigate and resolve outstanding claims by reviewing billing records, medical documentation, and insurance policies, and follow up with relevant parties to ensure timely reimbursement.
- **Payment Processing**: Receive and process payments from patients and insurance carriers, post payments accurately to patient accounts, and reconcile payment discrepancies as needed.
- **Documentation and Follow-Up**: Maintain thorough and accurate documentation of all inbound inquiries, resolution actions, and follow-up activities in the billing system or customer relationship management (CRM) platform.
- **Compliance**: Adhere to HIPAA regulations and other applicable laws, policies, and procedures governing healthcare privacy, billing practices, and patient rights during all interactions with patients and insurance entities.
- **Quality Assurance**: Participate in quality assurance activities to ensure adherence to billing and coding guidelines, accuracy of claim submissions, and compliance with organizational standards and industry regulations.
- **Customer Service Excellence**: Provide exceptional customer service by addressing inquiries promptly, demonstrating empathy and professionalism, and striving to exceed patient and provider expectations in every interaction.
- **Team Collaboration**: Collaborate with colleagues in the billing department, revenue cycle management team, and other departments to resolve complex billing issues, share best practices, and contribute to continuous process improvement efforts.

**Requirements**:

- Previous experience in healthcare billing, accounts receivable, or customer service roles, preferably in a US healthcare setting.
- Knowledge of medical terminology, insurance billing processes, CPT and ICD-10 coding, and healthcare reimbursement methodologies.
- Excellent communication skills, both verbal and written, with the ability to communicate complex billing and insurance concepts clearly and effectively to diverse audiences.
- Proficiency in using healthcare billing software, electronic health records (EHR) systems, and customer service platforms.
- Strong problem-solving skills, attention to detail, and ability to multitask in a fast-paced, customer-focused environment.
- Empathy, patience, and a customer-centric mindset with a commitment to delivering high-quality service and support to patients and healthcare providers.
- Ability to work flexible hours, including evenings, weekends, and holidays, as required to support inbound call volume fluctuations and meet customer needs.

**Salary**: ₹300,000.00 - ₹800,000.00 per year

**Benefits**:

- Health insurance
- Paid sick time

Schedule:

- Fixed shift
- Night shift
- UK shift
- US shift

Supplemental pay types:

- Joining bonus
- Performance bonus
- Quarterly bonus
- Shift allowance

**Education**:

- Diploma (preferred)

Work Location: In person

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