Key Responsibilities
- Make outbound calls to US insurance companies to follow up on unpaid, denied, or underpaid medical claims.
- Verify claim status, payment details, denial reasons, and reimbursement information.
- Analyze Explanation of Benefits (EOBs) and remittance advice.
- Work on claim denials, rejections, appeals, and payment discrepancies.
- Document call outcomes and update billing systems accurately.
- Escalate complex claim issues to supervisors or appropriate teams.
- Meet productivity, quality, and collection targets.
- Maintain HIPAA compliance and data confidentiality standards.
Required Skills
- Strong verbal communication skills with a neutral accent.
- Good understanding of US healthcare billing and insurance terminology.
- Knowledge of Medicare, Medicaid, commercial payers, and claim adjudication processes.
- Familiarity with CPT, ICD-10, and HCPCS codes is preferred.
- Ability to navigate payer portals and billing software.
- Good analytical and problem-solving skills.
- Basic proficiency in MS Excel and computer applications.
Pay: ₹20,000.00 - ₹35,000.00 per month
Benefits:
- Health insurance
- Provident Fund
Work Location: In person
