
Revenue Cycle Specialist
2 weeks ago
This role involves contacting insurance companies and patients to follow up on outstanding medical claims and ensure accurate reimbursement.
The process involves navigating complex billing and coding rules, and AR callers often play a critical role in denial management.
Key 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: Be involved in re-submitting claims with corrected information or appealing denials.
- Communication: Communicate with patients and internal stakeholders about denial statuses and resolution efforts.
Effective denial management, including AR calling, helps healthcare providers recover more revenue from claims. This can improve cash flow by speeding up the revenue cycle and reducing turnaround time.
Additionally, AR callers often communicate with patients to explain denial reasons and ensure they understand the process, which can lead to improved patient relationships.
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