AR Caller Hospital Billing Specialist
Q Way Technologies
Job Description
Key Responsibilities:
1. Perform outbound calls to insurance companies (payer calls) to resolve claims issues.
2. Work on hospital billing claims (UB-04), including inpatient, outpatient, and ER services.
3. Follow up on pending claims and initiate appeals or corrections as needed.
4. Analyze EOBs/ERAs to identify and resolve underpayments, denials, or rejections.
5. Document call outcomes and actions in the billing system accurately.
6. Meet daily and weekly productivity and quality targets (claims worked, resolution rate, etc.).
7. Collaborate with the internal billing and coding teams to resolve issues.
8. Maintain compliance with HIPAA and company guidelines.
Additional Information
Required Skills & Qualifications:
1. Minimum 1 year of experience in US Healthcare AR calling with a focus on hospital billing.
2. Strong knowledge of insurance guidelines (Medicare, Medicaid, Commercial payers).
3. Familiarity with UB-04 forms, DRG codes, and hospital RCM workflow.
4. Excellent spoken English and communication skills.
5. Experience with billing software like Epic, Cerner, Meditech, or similar is a plus.
About Q Way Technologies
QWay Healthcare is a leading revenue cycle service provider that serves over 50 states in USA and has been the industry player from last 12 years since its inception in 2007. We are focused on hiring a specialized team of professionals with quality standards and expertise to provide unique solutions to Healthcare industry or business. QWay Healthcare draws expertise from its multistint projects as healthcare service providers in the United States. Our experts utilize the best technologies and practices to configure customized solutions according to customer needs.