AR Caller
Zapare Technologies, a leading provider of Revenue Cycle Management solutions and services for the US Healthcare industry is looking for an experienced AR Caller with hands-on exposure in Medical Billing and Claims, particularly in Behavioural Health and Laboratory Billing. The ideal candidate will have strong analytical skills, attention to detail, and excellent communication abilities.
Job Specification
• Job Title: AR Caller
• Experience: 1 – 2 Years
• Education Qualification: Graduate in any stream
Job Description:
• Excellent verbal and written communication skills in English (Mandatory)
• Good Analytical and problem-solving skills
• Basic computer knowledge is essential
• Basic knowledge in MS Office application is essential
• Good keyboarding skills
• Ability to handle high call volumes and meet collection targets.
• Ability to learn and adapt to a fast-paced work culture.
• Working days: 5 days (Off on Saturday & Sunday)
• Shift schedule: Night shift only
Required Experience
• We are seeking candidates with at least 1 -2 year of hands-on experience in Medical Billing RCM denial management with a strong understanding of the following areas:
• Systematically follow up on aging, underpaid and denied claims with payers to ensure maximum reimbursement for healthcare providers.
• Verification of patient coverage and benefits for specific dates of service prior to or during claim follow-up.
• Initiate contact with insurance companies via phone, payer portals, and written correspondence to appeal denials and expedite claim processing.
• Maintain up-to-date knowledge of insurance policies, coverage, and billing procedures.
• Maintain and document all calls and its correspondence communications in patient accounting system.
• Efficiently maneuver through commercial payor portals (e.g., claims search, patient eligibility, documents upload, appeals dashboards).
• Prioritize claims based on dollar amount, aging status, and payer response timelines.
• Analyze Explanation of Benefits (EOB) and Electronic Remittance Advice (ERA) to identify reasons for non-payment or underpayment.
• Escalate unresolved claims to the appropriate department for further action.
• Identify and correct coding errors, billing discrepancies, or missing documentation that led to the claim issue.
• Compiling medical records from EHR.
• Systematic and regular follow up on appeals, to maintain TFL.
• Ensure compliance with HIPAA regulations and healthcare industry standards.
• Meet daily and monthly AR collection targets.
For more details, please Visit;
www.zaparetech.com/career