
Medical Claims Responder
1 week ago
About the Opportunity
We are seeking highly motivated and results-driven individuals to fill AR Caller positions in our growing healthcare revenue cycle team. The selected candidates will be responsible for making outbound calls to resolve outstanding claims and ensure timely reimbursement for healthcare providers.
Key Responsibilities:- Make calls to insurance companies to follow up on pending claims and ensure smooth claim resolution processes.
- Analyze denied or underpaid claims and take appropriate actions for resolution, ensuring compliance with insurance guidelines and medical billing regulations.
- Develop a thorough understanding of insurance policies, medical billing procedures, and AR workflows to effectively manage claims and maintain accurate records.
- Accurately document all interactions in the system, maintaining high levels of data integrity and transparency.
- Meet productivity and quality targets, demonstrating exceptional time management skills and adaptability in a fast-paced environment.
- Collaborate with the billing team to achieve revenue cycle goals, fostering a culture of open communication and mutual support.
- Bachelor's degree in any field.
- 0–3 years of experience in AR Calling, Medical Billing, or Revenue Cycle Management.
- Demonstrate strong verbal and written communication skills in English, with the ability to articulate complex ideas clearly and concisely.
- Familiarity with US healthcare processes, CPT/ICD codes, and insurance policies is advantageous.
- Willingness to work flexible shifts, including nights.
- Competitive salary with performance-based incentives.
- Ongoing training and skill development programs to enhance professional growth.
- Opportunities for career advancement within the healthcare BPO industry.
- A supportive and dynamic work environment that fosters collaboration and teamwork.
- Opportunities for career advancement within the healthcare BPO industry.
- Ongoing training and skill development programs to enhance professional growth.
- Familiarity with US healthcare processes, CPT/ICD codes, and insurance policies is advantageous.
- Demonstrate strong verbal and written communication skills in English, with the ability to articulate complex ideas clearly and concisely.
- 0–3 years of experience in AR Calling, Medical Billing, or Revenue Cycle Management.
- Meet productivity and quality targets, demonstrating exceptional time management skills and adaptability in a fast-paced environment.
- Accurately document all interactions in the system, maintaining high levels of data integrity and transparency.
- Develop a thorough understanding of insurance policies, medical billing procedures, and AR workflows to effectively manage claims and maintain accurate records.
- Analyze denied or underpaid claims and take appropriate actions for resolution, ensuring compliance with insurance guidelines and medical billing regulations.
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