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AR Callers
Actively Reviewing
CTB Solutions Pvt Ltd
Job Description
Requirements
Responsibilities:
Responsibilities:
- Make outbound calls to insurance companies to inquire about the status of claims.
- Identify and resolve claim denials, exceptions, or exclusions.
- Read and interpret insurance Explanation of Benefits (EOBs).
- Maintain accurate and detailed notes regarding collection efforts.
- Follow up on unpaid claims within standard billing cycle timeframes.
- Investigate and appeal denied claims.
- Handle patient inquiries on account status and charges.
- Maintain strict confidentiality in accordance with HIPAA regulations and company policy.
- Work with the billing team to ensure all bills have been dispatched to the relevant parties.
- Stay informed about changes in insurance policies, procedures, and regulations.
- High School Diploma or equivalent; further education in a related field will be a plus.
- Previous experience in AR calling is preferred, but not mandatory.
- Strong knowledge of medical insurance (HMO, PPO, Medicare, Medicaid, etc.).
- Understanding of medical terminology, ICD-10, CPT, and HCPCS coding.
- Proficient in MS Office and data entry, experience with medical software preferred.
- Excellent communication, negotiation, and problem-solving skills.
- Attention to detail and ability to analyze insurance EOBs.
- Ability to maintain professionalism and a positive service attitude at all times.
- Willingness to stay up-to-date with healthcare laws and regulations.
- Respect for patient confidentiality and adherence to HIPAA guidelines.
- Ability to work independently and manage time efficiently.
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