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 AR, top denial reasons, use appropriate codes to be used in documentation of the reasons for denials / underpayments
Preferred candidate profile
- Candidates should have experience in denial management
- Having background in handling insurance calls
- Should posses skills to analyze and address denial issues.
- Minimum qualification required is HSC
- Excellent communication skills.
Perks and benefits
- 5 days working
- Free Dinner
- Home Drop
- Performance based incentives
Contact:
Address: IT Building Q1, Aurum Platz Private Limited SEZ. Plot No. Gen 4/1, Trans Thane Creek Industrial Area. MIDC, Thane-Belapur Road. Ghansoli. Thane, Navi Mumbai 400 710
Maharashtra. India
Role: Voice / Blended - Other
Industry Type: Medical Services / Hospital
Department: Customer Success, Service & Operations
Employment Type: Full Time, Permanent
Role Category: Voice / Blended
Education
UG: Graduation Not Required
Key Skills
Skills highlighted with ‘‘ are preferred keyskills
AR Calling
Revenue Cycle ManagementUS HealthcareDenial Management
About company
TRIARQ Health is a Physician Practice Services company that partners with doctors to run modern patient- centered practices so they can be rewarded for delivering high-value care. TRIARQs Physician-led partnerships simplify practices transition to value-based care by combining our proprietary, cloud-based practice, care management platform and patient engagement services to help doctors focus on better outcomes.
Company Info
Address:IT Building Q1, Aurum Platz Private Limited — SEZ. Plot No. Gen 4/1, Trans Thane Creek Industrial Area. MIDC, Thane-Belapur Road. Ghansoli. Thane, Navi Mumbai — 400 710 Maharashtra. India
Pay: ₹20,000.00 - ₹38,000.00 per month
Benefits:
- Food provided
- Health insurance
- Provident Fund
Work Location: In person
