AR Caller

Are you detail-oriented and have experience managing accounts receivable processes? Join our team as an AR Caller! In this role, you’ll be responsible for contacting clients for payments, resolving billing issues, and maintaining accurate records. If you have 1 to 4 years of relevant experience and strong attention to detail, we encourage you to apply!

Years of Experience: 1 – 4 Years

Designation: AR/Sr. AR caller

Objectives

• Contact clients promptly to follow up on overdue payments and ensure timely collections.
• Implement effective strategies to reduce outstanding accounts receivable and improve cash flow.
• Monitor payment schedules and work with clients to establish feasible payment plans when necessary.
• Collaborate with internal teams to identify and address recurring payment issues or barriers to collection.
• Maintain accurate records of collection efforts and payment statuses for reporting and analysis purposes.

Responsibilities

• Perform pre-call analysis and check status by calling the payer or using IVR or web portal services
• Prioritize unpaid claims for calling according to the length of time it has been outstanding
• Call Insurance companies on behalf of physicians and carryout further examination on outstanding Accounts Receivables
• Call insurance companies and check on the status of claims
• If the claim has already been paid, ask the insurance company for Explanation of Benefits (EOB)
• Make recommendation to the claim based on inputs from the insurance company
• Maintain adequate documentation on the client software to send necessary documentation to insurance companies and maintain a clear audit trail for future reference
• Record after-call actions and perform post call analysis for the claim follow-up
• Assess and resolve any denied claims through calling. Should ensure that claim is updated with adequate information and resolved at first point of contact
• Perform analysis of accounts receivable data and understand the reasons for under payment, days in A/R, top denial reasons, use appropriate codes to be used in documentation of the reasons for denials / underpayments
• Excellent communication and listening skills with good command over the English language.
• Strong multitasking, time management, and target achieving skills.
• Customer oriented attitude with professionalism

Required skills and qualifications

• Good written and verbal communication skill
• Good knowledge in billing process
• Should have working knowledge in more than 2 billing software
• Capable of Trend analysis and strategy planning on revenue improvement
• Basic knowledge on CPT and ICD-10 codes and Insurance filling limits

Speciality: Neurostimulation / TMS therapy /Orthotics & Prosthetics experience will be an added advantage.

Job requirements:

To be considered for this position, applicants need to meet the following qualification criteria:

• 1-4 Years of experience in accounts receivable follow-up / denial management for US healthcare customers
• Fluent verbal communication abilities / call center expertise
• Knowledge on Denials management and A/R fundamentals will be preferred
• Willingness to work continuously in night shifts
• Basic working knowledge of computers
• Prior experience of working in a medical billing company and use of medical billing software will be considered an advantage. We will provide training on the client’s medical billing software as part of the training
• Knowledge of Healthcare terminology and ICD/CPT codes will be considered a plus

About SolvEdge

Solvedge: Pioneering the Future of Digital Healthcare

Our Expertise

SOLVEDGE stands at the forefront of digital healthcare innovation as a premier healthcare performance company. With over 18 years of dedicated service in the healthcare industry, we specialize in a digital care journey platform that revolutionizes how hospitals and health systems engage, monitor, and connect with patients throughout their healthcare experiences. Our partnership with Fortune 100 medical device companies and hospitals nationwide underscores our position as a trusted partner in healthcare solutions.

Key Features of SOLVEDGE

Our platform is designed to empower healthcare providers with the tools they need to automate and streamline care delivery, thereby improving clinical outcomes and patient satisfaction:

• Personalized Care Plans: Leveraging evidence-based data, SOLVEDGE delivers digital care plans customized to meet the individual needs and conditions of each patient.

• Real-Time Patient Monitoring: Through daily health checks, assessment, surveys, and integration with wearable devices, our platform facilitates continuous monitoring of patient health.
• Automated Care Delivery: We automate essential tasks, including appointment scheduling, sending reminders, and delivering educational content, to enhance patient engagement and reduce administrative tasks.
• Remote Patient Monitoring: Healthcare providers can monitor vital signs, symptoms, and treatment plan adherence remotely, enabling timely interventions and proactive care management.

The SOLVEDGE Advantage

Our platform offers significant benefits to healthcare providers and patients alike:

• Improved Clinical Outcomes: By facilitating more effective care pathways and enabling early intervention, SOLVEDGE contributes to reduced readmission rates, fewer emergency department visits, and shorter hospital stays.

• Enhanced Patient Satisfaction: Patients enjoy a higher quality of care with SOLVEDGE, benefiting from improved communication, comprehensive education, and continuous support.

• Cost Savings: Healthcare organizations can achieve substantial cost reductions by minimizing unnecessary readmission, emergency visits, and complications associated with poor care management.

Applications and Impact

SOLVEDGE’s versatility allows for its application across various aspects of healthcare, with a particular emphasis on surgical care. From preparing patients for surgery to monitoring their post operative recovery, our platform ensures a seamless and supportive care journey. Beyond surgical care, our focus encompasses managing care pathways, enhancing patient engagement through patient-reported outcomes, providing advanced data analytic, integrating with electronic medical records (EMR), and streamlining billing processes. Our comprehensive approach addresses the myriad challenges faced by today’s healthcare industry, backed by our commitment to excellence in service, communication, and customer experience.

A Trusted Partner in Healthcare Innovation

Our strategic relationships and deep understanding of healthcare challenges have positioned us as an indispensable ally to healthcare providers nationwide. As we continue to develop innovative solutions, our goal remains unchanged: to simplify healthcare delivery, improve patient outcomes, and enhance the overall patient experience.