Insurance Claims Specialist - Accounts receivable (AR)

Responsibilities

Responsible for calling Insurance companies (in US) on behalf of doctors/physicians and following up on outstanding Accounts Receivable.Perform pre-call analysis and check status by calling the payer or using IVR or web portal services.Review provider claims that have not been paid by insurance companies.Assess and resolve enquiries, requests and complaints through calling to ensure that customer enquiries are resolved at first point of contact.Perform analysis of accounts receivable data and understand the reasons for underpayment, top denial reasons, use appropriate codes to be used in documentation of the reasons for denials / underpayments.

Skills and Qualifications

Should have at least 2-4 years of experience in AR calling.Excellent English communication abilities with good analytical and logical reasoning skills.Should have an eye for detail and passionate about learning.Candidates must be able to work with a high volume of work while paying attention to detail and maintain high-quality Levels.Graduation or Diploma or equivalent qualification preferred.Should be ready to work in the shift timing - 4:00 PM to 1:00 AM .