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Call US insurance companies to obtain claim status and payment information.
Follow up on outstanding accounts receivable and pending claims.
Investigate denied, rejected, or underpaid claims.
Review Explanation of Benefits (EOB) and Electronic Remittance Advice (ERA).
Document call outcomes and actions taken in billing systems.
Resubmit corrected claims when required.
Escalate unresolved issues to supervisors or clients.
Work on aging reports to reduce outstanding balances.
Meet productivity, quality, and collection targets.
Ensure compliance with HIPAA and client guidelines.
Number of claims worked per day.
Calls completed per day.
Collection amount recovered.
Reduction in AR aging.
Denial resolution rate.
Quality and compliance scores.
3+ Years of Experience
Calling of Workers Comp claims and Refunds
Experience in NextGen is preferred
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Acurus Solutions is an India-based healthcare services company providing revenue cycle management, health information management, and technology development for US healthcare clients.
Mid · 3+ years experience
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