
Claims Resolution Specialist
3 days ago
AR Caller
">Job Description:- Primary Responsibilities:
- Make outbound calls to insurance companies to follow up on outstanding claims.
- Understand and resolve claim denials or rejections to ensure timely payment.
- Verify insurance information and update patient accounts accordingly.
- Document call details, follow-up actions, and claim status in the system.
- Maintain a high level of accuracy in updating accounts and handling claims.
- Coordinate with internal teams to escalate unresolved issues and ensure resolution.
- Meet or exceed daily and weekly productivity targets.
Additional Responsibilities:
- Stay updated on payer policies, guidelines, and industry changes.
- Provide feedback to the team lead or manager regarding process gaps or improvement areas.
- Ensure compliance with HIPAA and company confidentiality policies.
- Maintain professional communication with insurance representatives and team members.
Job Requirements:
- Education:
- Graduate in any discipline (Commerce or Healthcare-related fields preferred).
- Experience:
- 1 to 4 years in AR calling, medical billing, or healthcare revenue cycle management.
- Willingness to work in night shifts as per US process requirements.
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