US Healthcare AR Callers

ONQ India

us healthcare ar caller

job description

• review eligibility and benefits verification for treatments, hospitalizations, and procedures.

• review claims for accuracy and insurance compliance to obtain any missing information.

• prepare, review, and transmit claims using billing software, including electronic and paper claim processing.

• follow up on unpaid claims within standard billing cycle timeframes.

• check insurance payments for accuracy and compliance with contract discount.

• call insurance companies regarding any discrepancy in payments if necessary.

• identify and bill secondary or tertiary insurances.

• review accounts for insurance follow-up.

• research and appeal denied claims.

• update cash spreadsheets and run collection reports.

required skills

• minimum 3 years of experience in medical billing and revenue cycle management.

• knowledge of insurance guidelines including hmo/ppo, medicare, medicaid, and other payer requirements and systems.

• knowledge of medical terminology likely to be encountered in medical claims.

• familiarity with cpt and icd-10 coding.

• knowledge and understanding of the patient’s health information confidentiality guidelines and procedures in accordance with the health insurance portability and accountability act of 1996 (hipaa).

• effective communication skills for phone contacts with insurance payers to resolve issues.

• experience working with billing software and/or practice management software.

• competent use of computer systems, software, and 10 key calculators.

• be able to identify priorities, delegate tasks if needed, and handle conflict in a reasonable fashion.

• problem-solving skills to research and resolve discrepancies, denials, appeals, collections.

• a calm manner and patience working with insurances and payers during this process.

• ability to multitask.

• Experience

  2 - 3 Years

• No. of Openings

  10

• Education

  Any Bachelor Degree

• Role

  AR Callers

• Industry Type

  Call Centre / BPO / KPO / ITES / LPO

• Gender

  Male

• Job Country

  India

• Type of Job

  Full Time

• Work Location Type

  Work from Office