About this role
Roles & Responsibilities – AR Caller
• Follow up with insurance companies on outstanding and unpaid claims via calls or payer portals.
• Analyze and resolve denied, rejected, or underpaid claims by identifying root causes and taking corrective actions.
• Initiate and track appeals and claim resubmissions to ensure maximum reimbursement.
• Review aging reports and prioritize accounts to reduce AR days and improve collections.
• Maintain accurate documentation of calls, claim status, and actions in billing systems.
• Coordinate with billing, coding, and internal teams to resolve discrepancies and correct claim errors.
• Verify insurance eligibility, benefits, and coverage details when required.
• Communicate effectively with insurance representatives to negotiate payments and resolve issues.
• Ensure compliance with healthcare regulations and payer guidelines during claim follow-ups.
• Meet daily productivity targets, including call volumes and collection goals.
• Identify trends in denials and provide process improvement suggestions to enhance billing efficiency.