AR Callers || Pre AUTH|| EVBV

Key Responsibilities:

1. AR Caller – Insurance Follow-Up

• Make outbound calls to US insurance companies to resolve unpaid or denied claims.
• Analyze claim status, reason for denial, and take corrective actions.
• Document call activity and resolution in the billing system.
• Follow up consistently until the claim is resolved.

2. Pre-Authorization Executive

• Initiate and obtain prior authorization from payers for scheduled medical services/procedures.
• Contact insurance carriers via portals or phone.
• Coordinate with providers and patients to collect required clinical documents.
• Record auth number, validity, and status for billing.

3. EVBV Executive

• Verify patients' insurance eligibility and benefits before treatment.
• Check co-pay, deductible, co-insurance, and service coverage.
• Document accurate payer information and coverage details.
• Communicate findings to providers or front-desk staff.

Eligibility Criteria:

• Education: Any graduate (Life Sciences, Paramedical, Commerce, Arts, etc.)
• Experience: 0–3 Years in US Healthcare RCM
• Skills Required:
• Excellent spoken and written English communication
• Familiarity with US health insurance terms (PPO, HMO, Medicare, Medicaid)
• Basic knowledge of RCM cycle, CPT/ICD codes, and payer portals preferred
• Typing speed: 30–35 WPM (for EVBV/Pre-auth roles)