Job Description

Role & responsibilities

• Perform pre-call analysis and check status by calling the payer or using IVR or web portal services.
• Maintain adequate documentation on the client software to send necessary documentation to insurance companies and maintain a clear audit trail for future reference
• Record after-call actions and perform post call analysis for the claim
• Follow-up Assess and resolve enquiries, requests and complaints through calling to ensure that customer enquiries are resolved at first point of contact
• Provide accurate product/ service information to customer, research available documentation including authorization, nursing notes, medical documentation on client's systems, interpret explanation of benefits received etc, prior to making the call
• Perform analysis of accounts receivable data and understand the reasons for underpayment, days in A/R, top denial reasons, use appropriate codes to be used in documentation of the reasons for denials / underpayments

Preferred candidate profile

• 1-4 Years of experience in accounts receivable follow-up / denial management for US healthcare customers.
• Fluent verbal communication abilities / call centre expertise Knowledge on Denials management and A/R fundamentals will be preferred
• Willingness to work continuously in night shifts
• Basic working knowledge of computers.
• Prior experience of working in a medical billing company and use of medical billing software will be considered an advantage. We will provide training on the client's medical billing software as part of the training.
• Knowledge of Healthcare terminology and ICD/CPT codes will be considered a plus

Perks and benefits

• 100% Remote
• Provident Fund
• Gratuity

Job Classification

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