
AR Caller, Authorization, Benefit Verification
2 weeks ago
AR Caller:-
Role & responsibilities
- Responsible for AR follow-up, AR calling and denial management.
- Review provider claims that have not been paid by insurance companies.
- Ensure that the quality and production meet Industry Standards.
- Should have basic knowledge of the entire Revenue Cycle Management (RCM) and U.S. Healthcare Insurance (Provider side).
- Constantly keep track of both electronic and paper claims.
- Communicate with healthcare providers, insurance companies to gather the necessary information.
- Resolve issues, appeals and discrepancies in a timely manner.
Authorization:-
Role & responsibilities
- Benefit Verification.
- Obtain Prior Authorization from Insurance on behalf of providers for medical surgeries.
- Communicate with healthcare providers, insurance companies to gather the necessary information for Authorization.
- Review patient records and billing information to identify prior authorization requirements.
- Update patient records and billing systems with prior authorization information.
- Track the status of Authorization requests and follow up with insurance companies on pending approvals or denials.
- Resolve Authorization issues, appeals and discrepancies in a timely manner.
- Meet productivity and quality standards.
- Stay up-to-date with insurance policies, procedures, and regulations.
Preferred candidate profile
- Excellent English Communication
- Willing to work on Night Shift
- Good Typing speed and basic excel knowledge
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