
Clinical Claim Resolutions Specialist
1 week ago
Job Overview:
An AR Calling Specialist is responsible for contacting insurance companies and patients to resolve outstanding medical claims.
Key Responsibilities:
- Claims Resolution: Initiate calls to insurance companies to verify denied claim status updates.
- Documentation: Maintain thorough records of interactions, follow-up actions, and claim resolutions.
- Re-submittal: Re-submit claims with corrected information or appeal denials when necessary.
- Communication: Inform patients and stakeholders about denial statuses and resolution efforts in a clear and concise manner.
Benefits to Healthcare Providers:
- Revenue Recovery: Effective denial management through AR calling results in increased revenue recovery from claims.
- Improved Cash Flow: Speeding up the revenue cycle through denial management and AR calling enhances cash flow.
- Patient Engagement: AR callers communicate with patients to explain denial reasons and ensure understanding, improving patient relationships.
About this Role:
- Collaboration: Work closely with internal teams to ensure seamless communication and efficient claim resolution.
- Problem-Solving: Analyze complex claim issues and develop effective solutions to resolve them.
- Adaptability: Stay up-to-date with changing regulations and industry developments to maintain compliance and optimize processes.
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