Client Partner - Accounts Receivable (AR Caller)

This role is for an Accounts Receivable (AR) Caller who will serve as a Client Partner, primarily responsible for the crucial task of managing and resolving outstanding claims for US healthcare customers through direct communication. The ideal candidate will possess strong verbal communication skills, a keen eye for detail, and a commitment to ensuring timely and accurate revenue recovery.

Responsibilities

• Perform pre-call analysis and verify claim status by directly calling the payer or utilizing IVR/web portal services.
• Maintain meticulous documentation on client software, ensuring a clear audit trail for future reference and facilitating the submission of necessary documentation to insurance companies.
• Accurately record after-call actions and conduct post-call analysis to ensure effective claim follow-up.
• Assess and resolve inquiries, requests, and complaints through calling, striving for first-point resolution for all customer inquiries.
• Provide accurate product/service information by thoroughly researching available documentation, including authorization details, nursing notes, medical documentation on client systems, and interpreting Explanation of Benefits (EOBs) prior to making calls.
• Conduct analysis of accounts receivable (A/R) data to identify reasons for underpayment, track days in A/R, and determine top denial reasons, using appropriate codes for documentation.

Skills

• Fluent verbal communication abilities and strong call center expertise.
• Knowledge of denials management and A/R fundamentals is preferred.
• Basic working knowledge of computers.
• Ability to research and interpret complex medical and financial documentation.
• Knowledge of Healthcare terminology and ICD/CPT codes is considered a plus.

Qualifications

• Relevant experience in accounts receivable follow-up / denial management for US healthcare customers.
• Willingness to work continuously in night shifts.
• Prior experience in a medical billing company and using medical billing software will be an advantage. Training on client-specific medical billing software will be provided.