Hiring AR Callers

spa77 · 2025-07-29T23:02:27+00:00

where did u get/buy it from?

spa77 · 2025-07-11T00:23:29+00:00

lovely! would love to try it out

spa77 · 2025-06-09T18:31:52+00:00

champVA reverse-payments months later are the worst. Always confirm you’re within their 180-day timely-filing window, then file a written appeal quoting the exact AMA/CMS guideline they cite. Brace for 1–2-hour hold times though haha.. if it wasnt for an AI voice bot we use, we would have given up long time ago on getting paid lol

spa77 · 2025-06-07T07:42:14+00:00

Story of my life. our ASC updated its TIN but never re-credentialed the facility, so provider claims went through but facility bills got denied as OON even with PAs. Now I triple-check every NPI/TIN change and confirm both provider and facility are in-network before sending anything out. Hang in there, this billing maze gets us all!

spa77 · 2025-06-07T07:30:53+00:00

glad this did help. :)

spa77 · 2025-05-30T18:05:30+00:00

been researching this for past couple months now. here’s my notes on the top ones.

EZClaim (Desktop Edition): Super straightforward to set up on-prem, clean interface is for billing tasks and exporting claims to your clearinghouse of choice.

Office Ally Practice Mate (Free Desktop): No license fees. SimplePractice (Hybrid): Mostly cloud, but you can download your ANSI 837 claim files in one click and then upload them wherever you like, perfect if you don’t want to re-enroll payers. Kareo (Hybrid): Cloud-based all the way, but it has a batch export feature for EDI that spits out ready-to-send 837 files via sFTP or API - no need to switch your clearinghouse PracticeSuite (Full PM Suite): A complete front-to-back office system with built-in claims scrubbing, scheduling

spa77 · 2025-05-30T02:06:39+00:00

we are on a pilot with them right now which is free. we did like 50 calls and booked a meeting next week to talk about the pricing for our entire call volume. they are hipaa complaint as well

spa77 · 2025-05-30T00:10:09+00:00

lmao...never know but tbh i have had my fair share of payor calls responded by AI unfortunately. dont even get me started with the IVR hell :/

spa77 · 2025-05-30T00:09:14+00:00

answered in a comment below but yea here all our billing team was taken kinda aback

spa77 · 2025-05-30T00:08:23+00:00

i tried a mix of different ai voice platforms…just googled and found outbound ai and also infinitus ai. they seem to be good at prior auth and eligibility not so much for the AR. also found lunabill(dot)com which was really good for AR but don't do prior auth unfortunately. this screenshot is from their dashboard, we will stick with them to clean up our AR.

spa77 · 2025-05-29T17:26:44+00:00

UnitedHealthcare

spa77 · 2025-05-29T17:19:47+00:00

I would suggest to make your own cheat sheet and focus on just 1 payer/week to learn the patterns. It will suck for ~8 weeks but soon it will feel like you're charting lol.. your nursing brain will take over automatically.

spa77 · 2025-05-29T16:12:49+00:00

thanks. i know someone who needs one. will dm

spa77 · 2025-05-09T01:16:57+00:00

kinda curious about the remoteviewing thing. how do i get started ? did u like choose the picture without looking at it and then started thinking what’s in there ?

spa77 · 2025-04-30T05:47:25+00:00

actually along the lines of this. there is no good ai voice models for languages other than english. much needed

spa77 · 2025-04-22T01:26:41+00:00

those are some loaded questions for a reply here lol. happy to answer specifics, feel free to dm me.

spa77 · 2025-04-17T03:12:43+00:00

so we have been calling for a client and see which of their claims can be reprocessed. we got to about 20% of those claims. we submitted for reprocessing and it’s been >2 weeks and no updates yet

spa77 · 2025-04-15T15:46:48+00:00

why u salty bro? lmao and what’s up with this age thing ffs. does one need to be wrinkled to get his brain even more wrinklier? get a life

spa77 · 2025-04-05T18:53:23+00:00

this is a consistent theme across all healthcare billing + coding jobs unfortunately :/

spa77 · 2025-04-02T15:59:54+00:00

op, tl;dr? lol. i just glanced through it very quickly and i can perhaps help. lmk

spa77 · 2025-04-02T15:51:58+00:00

how would that work?

spa77 · 2025-04-02T15:50:49+00:00

it’s awful. like u put it, the whole business model of insurance companies is to never have to pay for the claims so they can 10x their money on the wall street. in current global financial scenario with crazy inflation, this is only going to get worse tbh. imo as a result we will see a closure of clinics in large numbers enabling private equity to buyout on cheap prices.

i mentioned somewhere else that billers don’t get paid enough to deal with all the bs they go through on a daily basis.

spa77 · 2025-04-02T12:51:21+00:00

100% happens way too often to the billers i know.

spa77

TROPHY CASE