Job Description

Job Description

  • Performing outbound calls to insurance companies (in the US) to collect outstanding Accounts Receivables.
  • SME in Denial Management
  • Provide trend analysis of issues with their appropriate solutions to the respective supervisor.
  • Review remittance and action the claim for solution towards payment.
  • Respond to customer requests by phone and/or in writing to ensure timely resolution of unpaid and denied claims.
  • Adhere to SOP guidelines within established productivity standards.
  • Report changes identified on payer adjudication guidelines.
  • Knowledge on appeals management.
  • Attending meetings and in-service training to enhance Accounts Receivable knowledge, compliance skills, and maintenance of credentials.
  • Ensure complete adherence to TAT and SLA’s as defined by the customer
  • Maintaining patient confidentiality.
  • Required Skills for this role include:

  • 5+ years of experience working on Revenue Cycle Management regarding medical billing.
  • Expertise on Revenue cycle management and End to End resolution guidelines.
  • Expertise with Windows PC applications that required you to use a keyboard, MS office, navigate screens, and learn new software tools.
  • Ability to work regularly from office scheduled shifts from Monday-Friday 5:30 pm to 3:30 pm IST.
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