Overview:
The AR Caller plays a crucial role in the healthcare organization responsible for managing accounts receivables and ensuring timely payment collection from insurance companies and patients. They are essential in maintaining the financial health of the organization by effectively addressing billing and collection issues.
Key Responsibilities:
- Review and analyze outstanding claims
- Follow up on delinquent accounts and initiate collection efforts
- Resolve billing discrepancies and disputes
- Update patient accounts and information
- Verify insurance coverage and benefits
- Respond to inquiries from insurance companies and patients
- Utilize billing software to document actions and progress
- Adhere to compliance and regulations in billing and collections
- Collaborate with internal teams to resolve payment issues
- Ensure accuracy and completeness of billing records
- Prepare and submit appeals for denied claims
- Participate in regular meetings and trainings
- Identify and recommend process improvements
- Meet collection targets and KPIs
- Provide excellent customer service
Required Qualifications:
- High school diploma or equivalent
- Proven experience in healthcare billing and collections
- Proficient in medical billing software
- Knowledge of insurance verification and authorization processes
- Understanding of medical coding and terminology
- Excellent communication and negotiation skills
- Ability to multitask and prioritize workload
- Strong attention to detail and accuracy
- Problemsolving and analytical abilities
- Familiarity with compliance and regulatory requirements in healthcare billing
- Adaptability to changes in healthcare policies and procedures
- Strong team player and collaborator
- Ability to work under pressure and meet deadlines
- Commitment to continuous learning and development in healthcare billing
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