India Patient accounts representative Jobs – 125 Open Jobs Today

Pre-Certification Representative
Med-Metrix —Chennai, Tamil Nadu
- Full-time
- Customer service
- Microsoft Office
- 12th Pass
5h
ADE - Zone 2
Reckitt —Lucknow, Uttar Pradesh
- Communication skills
- Health insurance
4h

More jobs to discover

Find similar jobs that you might be interested in.

ADE - Zone 2
Reckitt —Lucknow, Uttar Pradesh
Within Sales, we're focused on achieving outperformance across all of our channels, operating in highly competitive categories.
4h
End Client Architect
NICE —Pune, Maharashtra
Experience working with global teams across multiple regions and time zones. Ability to design secure endpoint solutions aligned with Zero Trust principles and…
Quick apply
10d

I want to receive the latest job alerts for patient accounts representative in india

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Pre-Certification Representative

Med-Metrix -
Chennai, Tamil Nadu

Apply Now

Job details

Full-time
5 hours ago

Qualifications

Customer service
Microsoft Office
Information security
12th Pass
CPT coding
Organisational skills
Epic
Medical terminology
Communication skills

Full job description

Job Purpose
The Pre-Certification Representative is responsible for obtaining and providing accurate and complete data input for precertification/preauthorization from insurance companies.

Duties and Responsibilities

Works effectively with insurance companies to obtain pre-certification for services
Places calls to various health plans to obtain appropriate precertification prior to the patient's appointment
Ability to understand/interpret documented clinical information and relay pertinent medical/clinical information to the insurance company
Faxes to pre-certification request form to insurance company
Maintains files and security of confidential information utilizing host system to scan and input data as per established procedures
Verifies medical insurance information and documents in scheduling/registration modules
Reviews claim denials and rejections
Accurately enters and updates patient data, and other general data, into the computer system
Patient intake; insurance verification, notification of copays/patient liability and confirmation of demographics
Demonstrates knowledge of varied managed care insurance and regulatory guidelines
Meets and maintains daily productivity/quality standards established in departmental policies
Uses the MPower workflow system, client host system and other tools available to them to collect payments and resolve accounts
Adheres to the policies and procedures established for the client/team
Communicate effectively with physician offices and patients
Place outbound call to patients with precertification notification
Work independently from assigned work queues
Maintain confidentiality at all times
Maintain a professional attitude
Other duties as assigned by the management team
Use, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards
Understand and comply with Information Security and HIPAA policies and procedures at all times
Limit viewing of PHI to the absolute minimum as necessary to perform assigned duties

Qualifications

High School diploma or equivalent required
Medical terminology knowledge required
Minimum of 2-3 years of healthcare or physician's office related experience in obtaining and handling pre-authorizations
Extensive knowledge of individual payor websites, including eviCore, Navinet and Novitasphere
Knowledge of Medical Terminology, CPT Codes, Modifiers and Diagnosis Codes
Ability to work well individually and in a team environment
Strong organizational and task prioritization skills
Experience with GE Centricity or EPIC PB preferred
Strong communication skills/oral and written
Strong organizational skills
Proficiency in Microsoft Office Suite
Strong interpersonal skills, ability to communicate well at all levels of the organization
Strong problem solving and creative skills and the ability to exercise sound judgment and make decisions based on accurate and timely analyses
High level of integrity and dependability with a strong sense of urgency and results oriented
Excellent written and verbal communication skills required
Gracious and welcoming personality for customer service interaction

Working Conditions

Must possess a smart-phone or electronic device capable of downloading applications, for multifactor authentication and security purposes.
Physical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear.
Mental Demands: The employee must be able to follow directions, collaborate with others, and handle stress.
Work Environment: The noise level in the work environment is usually minimal.

Med-Metrix will not discriminate against any employee or applicant for employment because of race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), political affiliation, military service, veteran status, other non-merit based factors, or any other characteristic protected by federal, state or local law.

Apply Now

Refine Your Search

patient accounts representative jobs in india

Pre-Certification Representative

ADE - Zone 2

More jobs to discover

I want to receive the latest job alerts for patient accounts representative in india

Jobseeker tools

Employer Tools

Browse

Stay Connected