RCM Specialist
1 week ago
Experience - 3-4 Years
Job Role- AR Caller
Location- Balewadi Highstreet
Key Responsibilities:
- Make outbound calls to insurance companies to follow up on outstanding claims.
- Review and resolve denials, rejections, and underpayments.
- Understand US healthcare billing, coding, modifiers, and submission guidelines.
- Analyze EOBs/ERAs and take appropriate action (re-submission, appeals, corrections).
- Update patient accounts with accurate notes based on call outcomes.
- Coordinate with internal teams to resolve coding, documentation, and eligibility issues.
- Meet daily/weekly productivity and quality targets.
- Maintain professionalism and follow compliance standards (HIPAA).
Required Skills & Qualifications:
- 3–4 years of experience as an AR Caller in US Medical Billing.
- Strong communication skills (verbal and written).
- Good understanding of RCM cycle: AR follow-up, denials, appeals, payer guidelines.
- Ability to handle complex claims, corrected claims, and multi-payer follow-ups.
- Familiarity with EMR systems, billing portals, and clearinghouses.
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