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Generalist AR role, mid-level (4+ yrs) experience, and Chennai metro increase competition.
US healthcare AR and HIPAA-specific claims experience limits cross-industry transferability.
Explicit 4+ years and US Healthcare AR experience create strict shortlisting filters.
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Initiate and manage calls with insurance companies to resolve claims including denials and underpayments, ensuring timely and accurate follow-up.
Document all claim-related actions, prioritize pending claims from aging basket, and adhere to HIPAA and confidentiality rules during communication.
Work on denials, rejections, and letters of authorization (LOAs) to accounts, making necessary claim corrections and complying with organizational information security policies.
Graduate degree required.
Minimum 4+ years experience in US Healthcare Accounts Receivable (AR) stream.
Must demonstrate good voice and professional demeanor over phone as well as strong organizational and analytical skills related to healthcare claims processing.
No travel or clearance required; compliance with HIPAA and information security policies mandatory.
Experienced in US healthcare revenue cycle management with focus on claims follow-up and resolution.
Comfortable with multitasking and working in controlled, compliance-driven environments adhering to confidentiality and HIPAA standards.
Adaptable to structured workflow involving call prioritization and detailed documentation in claims processing.