Senior AR Caller(Medical Billing)

Job Title – Senior AR Caller(Medical Billing)

We are seeking an experienced Senior AR Caller to manage and resolve outstanding insurance claims, ensure timely reimbursements, and support revenue cycle operations. The ideal candidate should have strong communication skills and in-depth knowledge of the US healthcare billing process.

Job type: In- Office role

Eligibility Criteria

• 3–6+ years of experience in AR calling- medical billing (US healthcare)
• Experience in handling multiple specialties
• Excellent verbal communication skills (US accent preferred)
• Good understanding of CPT, ICD, and HCPCS codes
• Familiarity with insurance portals and billing software
• Ability to work in night shifts

Interested candidates can apply here or share resume to recruiter@medvoiceinc.com or call 6364915511

You would be in charge of all the responsibilities outlined below:

1. Demographics Verification:  Verify and update patient demographic information in the billing system with 100% accuracy of patient demographic data such as name, address, insurance information, and contact details. Resolve discrepancies or missing information in patient demographics to prevent claim denials or delays.
2. Charge Entry:  Enter charges into the billing system based on the services provided to patients.  Verify the accuracy of charges entered, including the correct procedure codes, modifiers, and unit counts.  Ensuring compliance with coding guidelines and payer requirements during charge entry.
3. Claim Submission: Prepare and submit electronic or paper claims to insurance companies, ensuring compliance with billing regulations and payer requirements.
4. Claims Management:  Monitor outstanding claims, aging reports, and accounts receivable to ensure prompt resolution of unpaid or underpaid claims.
5. AR Follow up with insurance companies and patients to address outstanding balances.  Resubmit corrected claims when necessary.
6. Insurance Verification: Verify patient insurance coverage, eligibility, and benefits prior to claim submission. Obtain pre-authorizations or referrals as necessary.
7. Payment Posting: Post insurance and patient payments accurately into the billing system. Reconcile payments with billed amounts and resolve any discrepancies.
8. Denial Management: Review and resolve rejected or denied claims. Identify reasons for denials, correct errors, and resubmit claims for reimbursement.
9. Compliance: Adhere to billing regulations, coding guidelines (e.g., ICD-10, CPT), and payer policies to ensure accurate and compliant billing practices.
10. Documentation: Maintain accurate and detailed records of billing activities, including claim submissions, payments, adjustments, and communications with payers and patients.  Generating reports on billing metrics such as claim acceptance rates, denial rates, and average payment times.
11. Performance Metrics: Define key performance indicators (KPIs) and metrics to measure the effectiveness and efficiency of medical billing processes. Monitor performance regularly and implement corrective actions as needed. 
12. Provide coaching and feedback to junior team members to ensure performance levels are met.