- 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 A/R, top denial reasons, use appropriate codes to be used in documentation of the reasons for denials / underpayments
JOB REQUIREMENTS
To be considered for this position, applicants need to meet the following qualification criteria:
- 1-4 Years’ experience in accounts receivable follow-up / denial management for US healthcare customers
- Fluent verbal communication abilities
- Knowledge on Denials management and A/R fundamentals
- Willingness to work continuously in night shifts
- Basic working knowledge of computers.
- Prior experience of working in a medical billing company and use of medical billing software will be considered an advantage.
- Knowledge of Healthcare terminology and ICD/CPT codes will be considered a plus
Drive Date : 14th Feb 2024
Drive Venue : Saravana Matrix (SM) Tower LLP 288, Old Mahabalipuram Road, Seevaram Perungudi, Chennai, Tamil Nadu 600096
Contact Person : Arimathivadhana ( Mention "Referred by ventra HR" in the top of your resume)
Job Types: Full-time, Permanent
Salary: Up to ₹500,000.00 per year
Benefits:
- Food provided
- Health insurance
- Internet reimbursement
- Life insurance
- Paid sick time
- Provident Fund
Schedule:
Supplemental pay types:
- Performance bonus
- Shift allowance
Experience:
- AR Calling: 2 years (Preferred)
Speak with the employer
+91 8056168109
