Senior Executive – AR specialty

Job description

- Job Description: Perform outbound calls to insurance companies, healthcare providers, and TPAs to follow up on pending or denied claims. - Handle accounts receivable (AR) activities in the **Provider Side Vertical** or **Payer Collections** process. - Review and analyze outstanding claims, identify issues, and take appropriate action to ensure timely payment. - Accurately document all call interactions and claim statuses in the system. - Resolve claim rejections, denials, and payment discrepancies by coordinating with insurance representatives and internal teams. - Maintain productivity and quality standards as per company and client requirements. - Provide clear communication and updates on claim progress to management. - Ensure compliance with HIPAA and organizational policies during all communications. - Exhibit flexibility and a proactive approach in handling multiple tasks and priorities Responsibilities: The candidate should have experience in US Healthcare Calling process like AR Caller in Provider Side Vertical or AR Caller in Payer Collections. - Minimum 1-4 years of Experience in AR caller\\collections or Patient calling. The candidate should be well versed in calling US Healthcare providers, insurance companies/other Third Party Administrators. The role is completely target oriented on the number of calls made on a daily basis. - Should have good communication with neutral accent preferred. Follow every aspect of SOP without fail - Complete received Audits with Quality - To achieve Quality and production target. - Follow project related protocols and instructions. - Update all the logs like productivity, Clarification log, and any other logs applicable on a daily basis. - Check with Manager /TL in case of clarifications - All emails from Manager should be answered promptly without fail - Ensure compliance of entire team for HIPAA, OIG. - Conduct all job functions and responsibilities in accordance with all company Compliance, Information Security and Regulatory policies, procedures and programs. Qualifications:  1–4 years of experience in US Healthcare AR Calling, Collections, or Patient Calling  Proven experience in Provider-side AR or Payer Collections  Hands-on experience calling US healthcare providers, insurance companies, and TPAs  Strong verbal communication skills with a neutral accent preferred  Experience working in a target-oriented, high-volume calling environment  Good understanding of US healthcare revenue cycle processes  Ability to maintain quality while meeting productivity benchmarks  Strong attention to detail and documentation skills  Familiarity with HIPAA, OIG, and compliance requirements  Ability to work independently and collaboratively within a team