Promantra is currently looking for experienced AR Callers with the below capabilities.
Essential Duties and Responsibilities:
- Good understanding of Accounts Receivable.
- Calling Insurance Companies to follow up on Claims filed, to expedite payment.
- Work claims that are pending or have been denied or incorrectly paid by Insurance carriers
- Review claims that have been put on hold to identify the causes and address issues causing them to remain on hold
- Work denials aim to identify why claims have been denied, and handle follow-up accordingly.
- Should possess knowledge in AR analysis, AR calling, denial management, and appeals.
- Undertakes denial follow-up and appeals work wherever required.
- Reviewing, appealing, and rejecting unpaid and denied claims.
- Documents and takes appropriate action on all claims which has been analyzed and followed up in the client's software.
- Verifying patient's insurance coverage
- Analyzes outstanding claims and initiates collection efforts as per the aging report.
- Handle all correspondence via mail, email, and any necessary refunds; perform other duties as assigned by management
Skills/Experience Required:
- Knowledge of insurance carrier payment policies, practices, and amounts.
- Medical Billing, Insurance Billing, and AR experience preferred.
- Previous insurance experience: Claims follow-ups, denials follow-ups.
- Previously worked with Medicare HMOs and Medicaid HMOs from different states.
- Knowledge of ICD 10 codes
- Strong computer skills. Basic understanding of MS Outlook, Word, and Excel.
- Ability to handle large volumes of work while meeting tight deadlines
- Experience in an environment where calls were monitored and scored as well as metrics applied to individual performance is helpful.
- Ability to deal calmly and effectively with situations via telephone while maintaining and promoting a positive company image.
- Excellent communication skills, both written and verbal. Able to present information and solutions in a professional and courteous manner.
- Excellent attention to detail and accuracy.
- Able to organize and prioritize tasks in order to complete all work assigned
- Experience in Athena Advanced MD, Allscripts & Kareo will be an added advantage
- A keen eye for detail.
- An ability to work independently.
- The ability to communicate articulately and efficiently with other people within the company.
- An ability to prioritize and manage expectations.
- Thorough knowledge of different types of Denials