Company Description

Welcome to Enhance RCM! We are a leading healthcare revenue cycle management company that is revolutionizing the industry nationwide. Our mission is to redefine excellence by maximizing revenue, reducing costs, and elevating performance for healthcare providers.

Job Description:

We are see k ing an experienced Senior AR Caller specializing in insurance billing and collections to establish and lead our Accounts Receivable function. You will play a pivotal role in setting up efficient insurance billing and collections processes.

Prerequisites:

• Claim Processing: Handle insurance claims, ensuring accuracy and timely submission.
• AR Collection: Contact insurance companies, resolve payment issues, and establish collection procedures. .
• Denial Management: Investigate and resolve claim denials and resubmit claims as necessary.
• Insurance Relations: Build professional relationships with insurance providers to facilitate prompt and accurate payment.
• Billing and Invoicing: Create and submit insurance claims and invoices, establishing billing protocols. Aging
• Reports: Monitor accounts receivable aging reports for overdue payments. insurance claims and take proactive measures to minimize .
• Payment Posting: Accurately record and reconcile payments received from insurance companies. •
• Documentation: Establish detailed records of all insurance billing and collection activities.
• Reporting: Prepare and present regular AR reports related to insurance collections to management.
  

Qualifications :

• Proven experience as an AR Caller in the US Healthcare industry, with at least 2 years of relevant experience.
• Deep knowledge of insurance billing, claims, and denial management.
• Familiarity with insurance industry regulations and coding (e.g., ICD-10, CPT).
• Strong communication and negotiation skills.
• Proficient in using insurance billing software and Microsoft Office, especially Excel.
• Attention to detail and accuracy.
• Problem-solving skills and ability to handle insurance-related challenges professionally.
• Strong organizational and time-management skills.
• Bachelor's degree