Industry Type: RCM / US Healthcare
Location: Navi Mumbai (Ghansoli)
Division: Revenue Cycle Management (RCM)
Job 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 AR, top denial reasons, use appropriate codes to be used in documentation of the reasons for denials / underpayments.
Requirements:
- HSC/bachelors degree in any discipline.
- Good communication and analytical skills.
- Strong knowledge of medical billing concepts.
- Ready to work in night shifts.
Education: HSC/Graduate (Any stream).
Employment Type: Full Time, Permanent.
Shift: Night shift.
Perks and benefits: Home Drop Facility, Free Dinner Facility, 5 days working (Monday to Friday), Performance based incentives.
Pay: ₹21,000.00 - ₹41,000.00 per month
Benefits:
- Food provided
- Health insurance
- Provident Fund
Work Location: In person
