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Job Location | Coimbatore |
Education | Not Mentioned |
Salary | Not Disclosed |
Industry | BPO / Call Center |
Functional Area | General / Other Software |
EmploymentType | Full-time |
Job Description 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 clients 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 / underpaymentsJob 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 / call center expertise Knowledge on Denials management and A/ R fundamentals will be preferred 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. Access Healthcare will provide training on the clients medical billing software as part of the training. Knowledge of Healthcare terminology and ICD/ CPT codes will be considered a plus We are also hiring fresh life sciences graduates as Assistant Client Partners ,
Keyskills :
insurance ar documentation accounts billing audittrail ushealthcare lifesciences medicalbilling productservice denialmanagement accountsreceivable behavioraltraining verbalcommunication ivr cpt basic codes allcenter