Hiring AR Caller Physican billing-CMS1500 / Hospital billing-UBO4
Company: Q Way Technologies
Location: Guindy Chennai
Experience: 1–4 Years
Employment Type: Full-Time (Work From office only)
Key Roles & Responsibilities
- Handle Accounts Receivable (AR) follow-up for both Physician Billing (CMS1500) and Hospital Billing (UB04) claims.
- Perform insurance follow-ups via calls or payer portals to check claim status and resolve pending claims.
- Investigate and resolve claim denials, rejections, and underpayments from insurance companies.
- Analyze Explanation of Benefits (EOB) / Electronic Remittance Advice (ERA) to determine claim issues and take corrective actions.
- Work on denial management including eligibility issues, coding issues, authorization denials, medical necessity denials, and timely filing denials.
- Coordinate with billing, coding, and client teams to correct claims and resubmit for payment.
- Ensure accurate documentation of call details and claim actions in the billing system.
- Identify root causes of denials and suggest preventive measures to reduce future claim denials.
- Monitor aging reports and prioritize high-value or aged claims for faster resolution.
- Strong knowledge of US Healthcare Revenue Cycle Management (RCM).
- Hands-on experience with CMS1500 (Professional Claims) and UB04 (Facility Claims).
- Experience in AR follow-up and denial management.
- Good understanding of insurance guidelines, billing rules, and payer policies.
- Familiarity with EOB/ERA analysis and payment posting concepts.
- Excellent verbal communication skills for US client and payer interactions.
- Ability to work with multiple payer portals and billing software.
- Strong analytical and problem-solving skills.
- Ability to meet productivity and quality targets.
If you are available to join immediately and excited about the opportunity built career growth can apply for this very quick
Kindly [email protected]
Benefits:
Work Location: In person
