Medical Claim Follow-Up Specialist

5 days ago


Kanpur, Uttar Pradesh, India beBeeRevenue Full time ₹ 6,00,000 - ₹ 8,50,000

Key roles and responsibilities of an AR calling specialist include contacting insurance companies and patients to follow up on outstanding medical claims. This process involves navigating complex billing and coding rules, and AR callers often play a critical role in denial management.

Denial Management Responsibilities
  • Follow-up and Resolution:
  • Initiate calls to insurance companies to inquire about the status of denied claims.
  • Documentation:
  • Maintain thorough records of all interactions and follow-up actions.
  • Re-submittal:
  • Involved in re-submitting claims with corrected information or appealing denials.
  • Communication:
  • Communicate with patients and internal stakeholders about denial statuses and resolution efforts.
The Importance of Denial Management in Healthcare
  • Increased Revenue:
  • Effective denial management helps healthcare providers recover more revenue from claims.
  • Reduced Turnaround Time:
  • Speeding up the revenue cycle through denial management can improve cash flow.
  • Improved Patient Relationships:
  • AR callers communicate with patients to explain denial reasons and ensure they understand the process.


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