The Role
Make outbound calls to insurance companies to follow up on claim status, payments, denials, and unpaid claims. Analyze EOBs, perform denial management, handle appeals/resubmissions, coordinate corrections with internal teams, maintain call documentation, and meet productivity and quality targets.
Summary Generated by Built In
Responsibilities:
- Handle outbound calls to insurance companies for claim status and payment follow-ups.
- Work on denied, rejected, and unpaid claims.
- Analyze EOBs and take necessary actions.
- Perform denial management and identify root causes.
- Ensure timely resolution of outstanding AR.
- Work on appeals and resubmissions when required.
- Maintain accurate documentation of call details and actions taken.
- Meet daily productivity and quality targets.
- Coordinate with internal teams if needed for claim corrections
Candidate Requirements:
- Minimum 1-3 years of experience in AR Calling (Physician Billing)
- Strong understanding of RCM Cycle.
- Good knowledge of denial management and insurance follow-ups.
- Ability to work in US shifts.
- Experience with tools like EPIC, Eclinicalworks, Kareo is a plus.
Benefits:
- 2 way free transportation.
- Insurance
- Food coupons
Skills Required
- 1-3 years of experience in AR Calling (Physician Billing)
- Strong understanding of RCM Cycle
- Knowledge of denial management and insurance follow-ups
- Ability to work in US shifts
- Experience with EPIC, Eclinicalworks, Kareo
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The Company
What We Do
GetixHealth provides hospitals, clinics, university medical centers, and other healthcare facilities across the United States with comprehensive revenue cycle management (RCM) services. Our services are customized to the needs of our client and can either include all facets of the front and back office revenue cycle or a mixture of these services, including but not limited to: medical coding and billing, claims management, insurance eligibility services, medicaid/medicare specialized services, and self pay and bad debt collections.
