AR Calling Specialist for Hospital Billing Operations

2 weeks ago


Chennai, Tamil Nadu, India People First Consultants Full time

**Job Summary**

We are seeking a detail-oriented and experienced AR Calling Specialist with a minimum of 5 years of industrial experience in hospital billing and claims management. The ideal candidate will be responsible for managing denied claims, resolving billing issues, and optimizing revenue recovery.

**Key Responsibilities:**

  • Claim Review: Analyze and review denied claims, identify denial trends, and determine reasons for denials.
  • Appeal Preparation: Prepare and submit appeals for denied claims, ensuring the inclusion of all required documentation.
  • Follow-up: Conduct timely follow-up on outstanding claims and appeals, ensuring prompt resolution and payment.
  • Collaboration: Work closely with supervisors, the denials team, insurance companies, and internal departments to resolve denied claims efficiently.
  • Documentation: Maintain accurate records of denied claims, appeals, and resolutions in the billing system.
  • Regulatory Compliance: Stay updated on healthcare regulations, insurance policies, and payer requirements to ensure compliance and prevent future denials.
  • Reporting: Generate detailed reports on denial trends and recovery rates, providing insights for process improvements.
  • Issue Resolution: Identify issues leading to underpayments and take corrective actions to ensure accurate billing and revenue recovery.

**Qualifications:**

  • Education: Bachelor's degree in Healthcare Administration, Business, or a related field.
  • Experience: A minimum of 5 years of industrial experience in hospital billing denials management and claims follow-up.
  • Skills:
    • Strong analytical and problem-solving abilities.
    • Proficient in billing software and Microsoft Office Suite, particularly Excel and Word.
    • Familiarity with medical terminology, CPT, ICD-10 coding, and payer policies.
    • Excellent verbal and written communication skills.
    • Strong attention to detail and ability to work independently.

**Work Environment:**

Fast-paced hospital billing environment with regular interaction with insurance companies, billing teams, and internal departments. Opportunities for professional development and process improvement involvement.



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