Atean Healthcare Solutions
Website:
ateanhealthcare.com
Job details:
Company Description
Atean Healthcare Solutions is a cost-effective organization specializing in Medical Coding and Medical Billing services for healthcare providers. The company focuses on delivering accurate, compliant, and timely billing solutions that help clients improve revenue cycle performance and reduce administrative burden. By combining domain expertise with efficient processes, Atean Healthcare Solutions supports healthcare organizations in managing claims and reimbursements more effectively. The team operates in a structured, process-driven environment that values quality, reliability, and customer satisfaction. This setting offers professionals an opportunity to build a stable career in the healthcare revenue cycle management industry.
Experience: 1–3 Years
Department: Revenue Cycle Management (RCM) / Medical Billing
Shift: Night Shift (US Process)
Roles and Responsibilities:
- Make outbound calls to insurance companies in the US to follow up on outstanding medical claims.
- Analyze unpaid, denied, or partially paid claims and determine the appropriate next steps for resolution.
- Verify claim status, payment details, denial reasons, and appeal requirements with insurance representatives.
- Document all call outcomes, claim updates, and follow-up actions accurately in the billing system.
- Work on denied, rejected, and aging claims to maximize collections and reduce outstanding Accounts Receivable (AR).
- Initiate claim reprocessing, corrections, reconsiderations, and appeals as required.
- Ensure timely follow-up on pending claims based on payer-specific turnaround times.
- Meet daily productivity, quality, and collection targets set by the organization.
- Maintain compliance with HIPAA regulations and client confidentiality requirements.
- Coordinate with internal teams such as Charge Entry, Payment Posting, and Coding to resolve claim-related issues.
- Stay updated with payer policies, billing guidelines, and industry regulations.
- Identify recurring denial trends and report them to the Team Lead for process improvement.
- Maintain professional communication with insurance representatives while ensuring high-quality customer service.
- Achieve individual and team KPIs, including call quality, collections, and turnaround time.
Skills And Qualification:
- 1–3 years of experience as an AR Caller in the US Medical Billing industry.
- Good understanding of the Revenue Cycle Management (RCM) process.
- Experience in handling commercial and government insurance payers.
- Strong knowledge of claim follow-up, denial management, appeals, and payment posting concepts.
- Excellent verbal communication and active listening skills.
- Ability to interpret Explanation of Benefits (EOBs) and Electronic Remittance Advice (ERA).
- Proficiency in using medical billing software and MS Office applications.
- Strong analytical, problem-solving, and time management skills.
- Ability to work independently in a fast-paced, target-driven environment.
- Willingness to work in US night shifts.
Preferred Qualifications
- Graduate in any discipline.
- Experience with multiple specialties and practice management software is an added advantage.
- Knowledge of HIPAA compliance and US healthcare insurance processes.
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