Claim Follow-Up: AR callers check the status of claims submitted to insurance companies. They ensure that the claims have been received and are in the processing queue.
Denial Management: If a claim is denied, AR callers investigate the reason for denial and work on correcting it. This might involve resubmitting claims with additional documentation or appealing the denial.
Patient Billing: For patient balances, AR callers contact the patients to discuss their outstanding bills, explain insurance coverage, and set up payment arrangements.
Appeals: If a claim is denied and the healthcare provider believes it was valid, AR callers initiate the appeals process, which involves presenting a case to the insurance company for reconsideration.
Documentation: Detailed documentation of all interactions is essential in AR calling. It helps in tracking progress, providing a clear history of actions taken, and serves as a reference in case of disputes.