Revenue Cycle Specialist

2 days ago

Jaipur, Rajasthan, India beBeeClaim Full time ₹ 60,00,000 - ₹ 80,00,000

Key Responsibilities:

  • Contact insurance companies to follow up on outstanding medical claims and ensure accurate reimbursement.

This process involves navigating complex billing and coding rules, and AR callers often play a critical role in denial management.

AR Caller's Role in Denial Management:

  • 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.

Denial Management and Healthcare Providers:

  • Increased Revenue:
    • Effective denial management, including AR calling, helps healthcare providers recover more revenue from claims.
  • Reduced Turnaround Time:
    • Speeding up the revenue cycle through denial management and AR calling can improve cash flow.
  • Improved Patient Relationships:
    • AR callers often communicate with patients to explain denial reasons and ensure they understand the process.

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