About the role
- Call US insurance companies to obtain claim status and payment information.
- Follow up on outstanding accounts receivable and pending claims.
- Investigate denied, rejected, or underpaid claims.
- Review Explanation of Benefits (EOB) and Electronic Remittance Advice (ERA).
- Document call outcomes and actions taken in billing systems.
- Resubmit corrected claims when required.
- Escalate unresolved issues to supervisors or clients.
- Work on aging reports to reduce outstanding balances.
- Meet productivity, quality, and collection targets.
- Ensure compliance with HIPAA and client guidelines.
- Any Graduate (preferred)
- Good Communication
- Number of claims worked per day.
- Calls completed per day.
- Collection amount recovered.
- Reduction in AR aging.
- Denial resolution rate.
- Quality and compliance scores.
- 3+ Years of Experience
- Calling of Workers Comp claims and Refunds
- Experience in NextGen is preferred