
Claims Resolution Specialist
18 hours ago
As an AR Caller, you will be responsible for making outbound calls to insurance companies to follow up on outstanding claims. You will work closely with internal teams to escalate unresolved issues and ensure timely payment.
The primary goal is to resolve claim denials or rejections, verify insurance information, and update patient accounts accordingly. You will also maintain accurate records of call details, follow-up actions, and claim status in the system.
Key Responsibilities:- Make outbound calls to insurance companies to follow up on outstanding claims
- Resolve claim denials or rejections
- Verify insurance information and update patient accounts
- Maintain accurate records of call details, follow-up actions, and claim status
In addition to these responsibilities, you will stay updated on payer policies, guidelines, and industry changes. You will also provide feedback to your team lead or manager regarding process gaps or improvement areas.
It is essential to maintain professional communication with insurance representatives and team members, ensuring compliance with HIPAA and company confidentiality policies.
Job Requirements- Education: Graduate in any discipline (Commerce or Healthcare-related fields preferred)
- Experience: 1 to 6 years in AR calling, medical billing, or healthcare revenue cycle management
- Ability to work in night shifts as per US process requirements
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