AR Caller - Hospital Billing

Job Description (AR Caller / Hospital Billing):

Follow up with US insurance payers (Medicare, Medicaid, Commercial).
Review and resolve unpaid, denied, or rejected claims.
Resubmit corrected claims (UB-04) with appropriate codes and modifiers.
Contact insurance companies to check claim status, documentation requirements, or payment delays.
Handle denials including CO, PR, and OA categories.
Prepare and submit appeals with supporting medical documentation.
Review EOB/ERA for underpayments and take corrective actions.
Maintain accurate account notes in the billing system.
Achieve daily/weekly productivity and quality targets.
Ensure HIPAA compliance in all activities.

Required Skills:

Strong experience in Hospital Billing AR follow-up.
Good understanding of UB-04, revenue codes, modifiers, CPT, and ICD-10.
Knowledge of US healthcare payers and insurance guidelines.
Familiarity with EMR/Billing software such as Epic, Cerner, Meditech, Athena, Next Gen, etc.
Excellent verbal and written communication skills.
Ability to analyze denials and resolve issues efficiently.

Mode of Interview:
Walk-in or Virtual
Contact Person
Nivetha

Email To address : nivetha