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Accounts Receivable Caller @ Pena4 Tech Solutions

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 Accounts Receivable Caller

Job Description


About the Role:

We are seeking a detail-oriented and proactive Accounts Receivable (AR) Caller to join our medical billing team. The AR Caller will be responsible for contacting insurance companies to follow up on outstanding claims, resolve payment issues, and ensure timely reimbursement for medical services rendered.


Key Responsibilities:

  • Make outbound calls to insurance companies to check claim status and resolve denials or pending claims.
  • Follow up on unpaid or underpaid claims and escalate complex issues as needed.
  • Review and analyze Explanation of Benefits (EOBs) and Remittance Advice (RA).
  • Update billing system with accurate notes and claim statuses.
  • Collaborate with internal billing and coding teams to resolve billing discrepancies.
  • Ensure compliance with HIPAA regulations and company policies.
  • Meet daily, weekly, and monthly productivity and quality targets.

Required Skills and Qualifications:

  • Bachelors degree or equivalent work experience in medical billing or healthcare.
  • 23 years of experience in AR calling or medical billing preferred.
  • Strong understanding of revenue cycle management (RCM), CPT, ICD-10, and HCPCS codes.
  • Excellent communication and negotiation skills.
  • Ability to work independently and manage time effectively.
  • Familiarity with billing software and electronic health records (EHRs) is a plus.

Preferred Skills:

  • Experience with Medicare, Medicaid, and commercial insurance payers.
  • Knowledge of US healthcare regulations and insurance guidelines.
  • Prior experience working in a BPO/KPO environment focused on healthcare.

Compensation & Benefits:

  • Competitive salary based on experience.
  • Health insurance and other standard company benefits.
  • Opportunities for growth and professional development.

Job Classification

Industry: Medical Devices & Equipment
Functional Area / Department: Healthcare & Life Sciences
Role Category: Healthcare & Life Sciences - Other
Role: Healthcare & Life Sciences - Other
Employement Type: Full time

Contact Details:

Company: Pena4 Tech Solutions
Location(s): Hyderabad

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Keyskills:   Communication Skills Billing Software Denial Management Claims Processing EOB

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Pena4 Tech Solutions

Since 2004, Pena4 Tech Solutions has been providing precise and timely customized business data processing outsourcing services that meet international standards. With a full compliment of IT, Financial & Healthcare related professionals, including a wide array of IT Administrators & Program...