About the role
- Perform AR follow-up on outstanding insurance claims and denied claims.
- Contact insurance companies via calls, IVR, or web portals to obtain claim status.
- Investigate and resolve claim denials, underpayments, and payment delays.
- Analyze EOBs (Explanation of Benefits) and determine appropriate actions.
- Work on denial management and appeals to maximize reimbursements.
- Document call outcomes and update claim status accurately in the billing system.
- Identify trends in denials and recommend corrective actions.
- Follow up on pending claims and ensure timely resolution.
- Maintain productivity and quality standards as defined by the organization.
- Collaborate with billing and coding teams to resolve claim-related issues.
- Knowledge of US Healthcare and Medical Billing processes.
- Experience in AR Follow-up and Denial Management.
- Understanding of Medicare, Medicaid, and Commercial Insurance policies.
- Strong verbal and written communication skills.
- Good analytical and problem-solving abilities.
- Ability to work with billing software and MS Excel.
- Ability to meet productivity and quality targets