
Medical Claims Recovery Specialist
7 days ago
Job Summary:
We are seeking a highly skilled AR Calling Specialist to join our team. The ideal candidate will possess excellent communication skills, be detail-oriented, and have the ability to navigate complex billing and coding rules.
About the Role:
The AR Calling Specialist will be responsible for 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.
- Responsibilities:
Follow-up and Resolution:
The AR Caller initiates calls to insurance companies to inquire about the status of denied claims.
- They maintain thorough records of all interactions and follow-up actions.
- They may be involved in re-submitting claims with corrected information or appealing denials.
- They communicate with patients and internal stakeholders about denial statuses and resolution efforts.
Denial Management and Healthcare Providers:
Effective denial management, including AR calling, helps healthcare providers recover more revenue from claims. Speeding up the revenue cycle through denial management and AR calling can improve cash flow.
- Benefits:
Increased Revenue:
Our organization strives to increase revenue through effective denial management and AR calling.
Reduced Turnaround Time:
By speeding up the revenue cycle, we can improve cash flow and meet our financial goals.
Improved Patient Relationships:
AR callers communicate with patients to explain denial reasons and ensure they understand the process.
- Required Skills and Qualifications:
Communication Skills:
Excellent verbal and written communication skills are required to effectively communicate with insurance companies, patients, and internal stakeholders.
Organizational Skills:
Ability to prioritize tasks and manage time effectively to meet deadlines.
Technical Skills:
Proficiency in using electronic medical records systems and other software applications related to AR calling.
Industry Knowledge:
Understanding of healthcare regulations and industry standards related to billing and coding.
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