US Healthcare - Insurance Follow up/AR Caller at Pondicherry.

Job Title - Analyst/Specialist - AR Calling - US Healthcare RCM

Job Description:

• Responsible for calling Insurance companies (in US) on behalf of doctors/physicians and follow up on outstanding Accounts Receivable.
• To prioritize the pending/overdue tasks for calling/working from the aging basket.
• Should be able to convince the claims company (payers) for reprocessing the claims for payment of their outstanding claims.
• To check the appropriateness of the demographic/insurance information given by the patient if it is inadequate or unclear.
• To make a physical call by following the international norms and applicable rules for confidentiality and HIPAA compliance.
• Escalate difficult collection situations to the teams supervisors in a timely manner.
• Review provider claims that have not been paid by insurance companies or denied by the insurance companies.
• Handling patients billing queries and updating their account information.
• Working on denied claims by taking the appropriate action
• Routing denials to the correct department in case of fix the hole opportunities
• Escalate all avoidable denials to the teams supervisors where there is a direct revenue loss for the practice and the company
• Sharing new findings with the teams supervisors and the team
• Post cash and write off the contractual adjustments accordingly while working on the accounts.
• Meeting daily/weekly and monthly targets set for an individual.

Desired Profile:

• Should be willing to work in US Shift.
• Experience in Denial Management (Healthcare Revenue Cycle Management) process.
• Strong written and verbal communication skills.
• Good computer skills including Microsoft Office suite.
• Ability to prioritize and manage work queue.
• Ability to work independently as well as in a team environment.
• Should be a result oriented person and works towards solving the issues instead of dragging the issues.
• Strong analytical and problem-solving skills.
• Good typing skills with a speed of min 30-35 words /min.

Interested can Click on this link to Register:

https://primepeople.darwinbox.in/jobs/jobsdetailed/id/a6481cdaaaa67e/grp_company/a6406e27dada81/custom_source/a675690cb56745/custom_type/a6368f53def423