AR Calling - Fresher (Voice Process)

• Perform pre -call analysis and check status by calling the payer or using IVR or web portal services.
  
• Maintain adequate documentation on the client software to send necessary documentation to insurance companies and maintain a clear audit trail for future reference.
  
• Record after -call actions and perform post call analysis for the claim follow -up.
  
• Assess and resolve enquiries, requests and complaints through calling to ensure that customer enquiries are resolved at first point of contact.
  
• Provide accurate product/ service information to customer, research available documentation including authorization, nursing notes, medical documentation on client's systems, interpret explanation of benefits received etc prior to making the call.
  
• Perform analysis of accounts receivable data and understand the reasons for underpayment, days in A/R, top denial reasons, use appropriate codes to be used in documentation of the reasons for denials / underpayments.
  
• Ensuring the daily assigned accounts are resolved/ worked on.
  
• Escalate difficult collection situations to Team Leaders situations and seek education and instruction.
  

Requirements