
Collection Specialist
1 week ago
The primary goal of an Accounts Receivable Caller is to establish communication with insurance companies or clients to follow up on pending or denied claims. This involves understanding and analyzing Explanation of Benefits (EOB) and insurance correspondence, identifying reasons for denials, and taking corrective action.
Maintaining accurate records of follow-up actions taken and resolving billing and payment issues efficiently while ensuring compliance with healthcare regulations are crucial aspects of this role. Additionally, documenting all call activities and outcomes accurately in the system and meeting daily, weekly, and monthly targets for calls and collections are essential responsibilities.
Collaboration with the billing team and escalating complex issues as needed is also a vital part of this position.
Requirements- A Bachelor's degree in Commerce, Business Administration, or a related field is required.
- 1-3 years of experience in AR calling, preferably in the healthcare or BPO industry, is preferred.
- Familiarity with medical billing terminology (CPT, ICD-10, HCPCS) is advantageous.
- Excellent verbal communication and negotiation skills are necessary.
- Proficiency in MS Office and billing software (e.g., Practice Management Systems, EPIC, or equivalent) is required.
- Ability to work independently and meet deadlines in a fast-paced environment is essential.
- Knowledge of US healthcare revenue cycle (for medical AR caller roles) is beneficial.
- Experience with payer portals and denial management is a plus.
- Strong analytical and problem-solving skills are valuable.
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