AR Caller (Hospital Billing)

• Perform detailed pre-call analysis to identify root causes of unpaid or underpaid claims

• Contact insurance payers via calls, IVR, or web portals for claim status and resolution

• Handle claim denials and aged accounts by identifying issues and suggesting corrective actions

• Accurately document claim activities in client systems for compliance and audit purposes

• Analyze Explanation of Benefits (EOBs), medical records, and payer communications

• Prepare and submit appeals for denied or underpaid claims within defined timelines

• Track high-value and aged claims until closure

• Collaborate with internal teams to improve process efficiency and data accuracy

• Ensure compliance with HIPAA, ERISA, and payer-specific guidelines

• Support audits and mentor junior team members for performance improvement