Ashish Kumar

Key Responsibilities.

We are seeking a detail-oriented and experienced AR Caller to manage outstanding insurance claims, and ensure timely reimbursement. The candidate will be responsible for following up with insurance companies, resolving claim denials, and maintaining accurate documentation in the billing system.

• Follow up on unpaid and denied insurance claims with Medicare, Medicaid, and commercial payers.
• Review Accounts Receivable (AR) aging reports, and prioritize claims for follow-up.
• Identify denial reasons, and take appropriate corrective actions.
• Re-submit corrected claims as required.
• Document call details and claim status updates accurately in the billing system.
• Work closely with the coding, payment posting, and front-end teams to resolve issues.
• Meet daily productivity and quality targets.
• Ensure compliance with HIPAA and payer guidelines.

🔹 Medical Billing / EHR Software

Kaleida Health.

• Worked on Various worklist like AR Follow up, Holistic, Previously Entered, Appeal call rvw, Reprocess, Denials, Minute clinic Poly Posting.
• Client: Athena
• Project Domain: Healthcare
• Tools: Office365, Ms office
• Responsibilities: Follow-up on Payment/ Customer Service
• Contact payers to remind them of overdue payments and follow up on pending invoices.
• Use various communication channels such as phone calls, emails, and letters to reach clients.
• Discuss payment terms, offer payment solutions, and resolve any disputes or discrepancies.
• Investigating Disputes: Working with customers to resolve any issues or disputes related to invoicing or payments
• Provide excellent customer service by being professional, polite, and responsive in communications
• Address and resolve any complaints or issues related to invoices or payments
• Escalation: Escalating accounts that are seriously overdue to management or the collections team
• Account Notes: Recording notes from conversations and updating accounts with new information or payment commitments