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We are hiring for AR caller with experience of CMS form 1500.
Job Responsibility:
Resolving claim issues: Identifying and resolving the reasons for claim denials, such as coding errors, missing information, or eligibility issues.
Appealing denials: Submitting appeals for denied claims and providing any necessary additional documentation to secure payment.
Payment reconciliation: Reviewing remittance advice to ensure accurate reimbursement and handling payment posting or discrepancies.
Patient and provider communication: Addressing inquiries from patients and collaborating with internal departments, like billing and coding, to resolve discrepancies.
Record keeping: Maintaining accurate and up-to-date records of all communication, actions taken, and claim statuses.
Staying updated: Keeping current with changes in insurance regulations and medical billing guidelines.
Contacting payers: Making outbound calls to insurance companies and patients to follow up on the status of unpaid or denied medical claims.
Requirements:
Good Communication
AR calling
Denial management
Modifier Experience
Worked with Provider / Doctors - CMS form 1500 must
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