Key Responsibilities:
Inbound Calls (Handling Patient Inquiries & Support):
- Answer incoming calls from patients regarding medical bills, insurance coverage, and payment options.
- Provide accurate and clear explanations of patient balances, EOB (Explanation of Benefits), and claim statuses.
- Address patient concerns regarding denied claims, billing discrepancies, and financial assistance options.
- Assist patients in verifying insurance eligibility, coverage limits, and copay/deductible responsibilities.
- Handle patient inquiries regarding prior authorizations and pre-certifications, as needed.
- Document call interactions and update patient accounts with relevant notes and actions.
Outbound Calls (Proactive Patient Communication & Follow-ups):
- Conduct outbound calls to patients for payment reminders, outstanding balances, and payment plan arrangements.
- Follow up on denied claims and coordinate with patients for necessary information or documents for claim resubmission.
- Reach out to patients to confirm insurance details and ensure updated policy information is on file.
- Notify patients about their financial responsibility before scheduled medical services and procedures.
- Conduct patient satisfaction surveys and address concerns related to billing services.
- Escalate unresolved billing issues to the appropriate RCM or collections department for further action.
Insurance & Financial Assistance Coordination:
- Verify patient insurance eligibility and benefits for medical procedures.
- Assist patients in understanding and applying for financial assistance programs, if applicable.
- Educate patients on payment options, including self-pay discounts, installment plans, and third-party financing.
Documentation & Compliance:
- Accurately document all patient interactions, payment agreements, and resolutions in the system.
- Maintain confidentiality and compliance with HIPAA regulations regarding patient information.
- Adhere to company policies, industry standards, and payer-specific guidelines for billing and collections.
Required Qualifications & Skills:
Education & Experience:
- High school diploma or equivalent (bachelor’s degree in healthcare, business, or a related field is a plus).
- 1-3 years of experience in medical billing, patient calling, collections, or a healthcare-related customer service role.
- Familiarity with healthcare RCM processes, insurance verification, and medical billing codes (CPT, ICD-10, HCPCS) is preferred.
Technical Skills:
- Proficiency in medical billing software (Epic, Cerner, Athenahealth, eClinicalWorks, or similar).
- Experience working with patient portals and electronic health records (EHR).
- Basic knowledge of MS Office (Excel, Word, Outlook) and CRM systems.
Soft Skills:
- Strong communication skills (verbal and written) with a professional and empathetic tone.
- Ability to explain complex billing and insurance concepts in simple terms to patients.
- Problem-solving skills with a patient-centric approach.
- Attention to detail and accuracy in data entry and documentation.
- Ability to work in a fast-paced environment and handle high call volumes.
- Strong organizational and multitasking abilities.
Job Types: Full-time, Permanent
Pay: ₹9,165.79 - ₹40,000.00 per month
Benefits:
- Health insurance
- Paid time off
- Provident Fund
Location:
- Chennai, Tamil Nadu (Preferred)
Work Location: In person
