The Role
Conduct outbound calls to healthcare providers and payers to resolve outstanding balances, analyze claims and patient accounts, investigate denials and payment delays, negotiate payment arrangements, document collection activity, maintain privacy compliance, and report recovery performance. The role requires healthcare revenue cycle knowledge, medical billing and terminology expertise, strong communication and negotiation skills, and accurate management of high-volume accounts.
Summary Generated by Built In
AR Caller Job Description
Summary
We are seeking a motivated and detail-oriented Accounts Receivable Caller to join our team, specializing in the US healthcare sector. In this pivotal role, you will serve as the primary liaison between our organization and healthcare providers, ensuring the efficient resolution of outstanding balances. The position is critical for maintaining healthy cash flow and optimizing revenue cycles by managing the complexities of hospital billing and insurance claims. The ideal candidate will possess a solid understanding of medical billing protocols and demonstrate exceptional communication skills to navigate challenging collections scenarios effectively.
Responsibilities
- Initiate and conduct outbound calls to medical facilities and payers to discuss and resolve outstanding account balances.
- Analyze patient accounts and insurance claims to identify discrepancies, denials, or missing information requiring immediate attention.
- Collaborate with billing specialists to investigate the root causes of payment delays and implement corrective actions.
- Negotiate payment plans and settlement terms with hospital administrators and insurance representatives in a professional manner.
- Document all interactions, collection activities, and account updates accurately within the billing management system.
- Ensure strict adherence to compliance regulations and internal policies regarding patient data privacy and billing practices.
- Provide regular status reports on collection performance, recovery rates, and outstanding receivables to management.
Requirements
Requirements:
- Possess 1 to 3 years of professional experience specifically within accounts receivable or revenue cycle management.
- Demonstrate a strong working knowledge of US healthcare systems, including hospital billing procedures and insurance claim workflows.
- Exhibit proven expertise in AR calling techniques, including effective negotiation, objection handling, and relationship building.
- Maintain a thorough understanding of medical terminology and billing codes relevant to hospital services.
- Display excellent verbal and written communication skills with the ability to interact professionally with diverse stakeholders.
- Show high proficiency in using billing software and standard office productivity tools.
- Possess a strong attention to detail and the ability to manage a high volume of accounts with accuracy and timeliness.
Skills Required
- 1 to 3 years of professional experience in accounts receivable or revenue cycle management
- Working knowledge of US healthcare systems, hospital billing procedures, and insurance claim workflows
- Expertise in AR calling techniques, negotiation, objection handling, and relationship building
- Understanding of medical terminology and billing codes relevant to hospital services
- Excellent verbal and written communication skills
- High proficiency with billing software and standard office productivity tools
- Strong attention to detail and ability to manage high-volume accounts accurately and promptly
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The Company
What We Do
Calpion is an information technology company specializing in application maintenance and testing services.
