Job Description

• We are seeking a diligent and proactive AR Caller to join our US Healthcare BPO team.
• The AR Caller will be responsible for managing the accounts receivable process by contacting insurance companies to follow up on pending claims.
• Resolve claim denials and ensure timely reimbursement for healthcare services.

Job Responsibilities

• Make outbound calls to insurance companies to follow up on unpaid or denied claims.
• Verify claim status, understand reasons for denials or delays, and take necessary steps to resolve issues.
• Accurately document call activities and update account information in the system.
• Work with healthcare providers and billing teams to gather necessary information for claim resubmission.
• Identify trends in denials and payment delays, and suggest process improvements to minimize issues.
• Meet individual and team performance targets, including call handling metrics and claims resolution rates.
• Handle sensitive patient information with confidentiality and comply with HIPAA regulations.
• Participate in training sessions to stay updated on payer policies, healthcare regulations, and process changes.
• Collaborate with team members to ensure smooth workflow and contribute to a positive team environment.

Qualifications

• Bachelor’s degree.
• Previous experience in accounts receivable, medical billing, or a similar role in the US Healthcare BPO industry.
• Strong understanding of healthcare terminology, insurance plans, and claims processing.
• Excellent verbal communication skills with a clear and professional phone manner.
• Proficiency in using billing software, accounts receivable systems, and MS Office.
• Flexible to work night shifts.

Skills

• Strong interpersonal and communication skills.
• Active listening and empathy.
• Basic computer skills and familiarity with MS Office.
• Ability to work independently and as part of a team.