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AR Calling and Medical Billing
The call-center function in co-ordination with the AR Analyst is the most important function in Medical Billing They are the persons who actually speak with the other parties in billing follow-up, the insurance Carrier, and the patient Calling can be generally classified into three types They are 1) Doctor calling 2) Insurance Calling and 3) Patient Calling
1) Doctor Calling It is calling the Doctor’s office by the caller for any patient’s information, procedure information etc
2) Insurance Calling In this, the caller reviews completely the work-order given by the AR Analyst, and starts calling-up the insurance carrier to check the status of claims filed with them, the payment issued on each claim, the denial reason if the claims are outstanding, the appropriateness of the patient information etc and documents the conversation in the work-order what he had on the call, so that the analyst, when reviewing them will understand what to do on that particular claim In short, he calls the insurance company, gets the information on what happened on that particular claim, and conveys it to the AR Analyst to take action on it
3) Patient Calling In this, the caller calls up the patient for various reasons Some of the common reasons on which the caller calls up the patient are
i) To follow-up on the bills sent to the patient, when there is no response from the patient
ii) To check the appropriateness of the insurance information given by the patient if it is inadequate or unclear
iii) To check the insurance information incase of self-pay patients
iv) To get clarification on insurance coverage in cases, where information provided by the hospital or Doctor’s office is insufficient
v) To get information for which claims are pended by the insurance company
In this way the AR Analysis, and the AR Calling department work hand-in-hand, and make the claims paid It is the co-ordination between these two departments that makes the carrier to discharge the payments faster The major criteria for assessing a billing office’s performance are high collections and low AR, and this could be attained only by the Accounts Receivables department – the back bone of Medical Billing
Training recommended for Medical Billing with AR Calling
Job location Chennai, Bangalore, Coimbatore, Salem, Tirunelveli, Vellore, Tirupati, Chittoor
Call - 9840040143
WhatsApp 9789004777
wwwfacebookcom/yogambpo
Vellore
Employment Type : | Full Time |
Eligibility : | Any Graduate |
Industry : | Biotechnology/Pharmaceutical/Medicine, CRM/CallCentres/BPO/ITES/Med.Trans |
Functional Area : | Operations/Customer Service/Telecalling/Backend, Bio Tech/R&D/Scientist |
Role : | Medical Transcription,Bio/Phar ma Informatics,Microbiolo |
Salary : | As per Industry Standards |
Deadline : | 06th May 2020 |
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