Calls insurance to confirm receipt of claim
o Calls insurance to request claim be adjudicated
o Following up on the claims send for adjudication.
o Gathers all required appeal information for denied cases to assist in drafting the appeal
o Updates information in practice management software: Billing notes and status.
o Request client if additional medical records are needed.
o Confirms payment details if claim was paid, including payment details, date and set’s follow up task
o To maintain daily productivity report.
o To draw OCR (Open Claim Report) from the system
o To prioritize the pending claims for calling from the aging basket
o To schedule the calls as prioritized to US carries and patients by considering the time zone difference in IST and US time-zone applicable
o To make a physical call by following the international norms and applicable rules for confidentiality and HIPAA compliance
To report the outcome of the call in the appropriate system and to advise the team in data-team in RCM for corrective action
Education: Any Graduate
Skills- Good Communications, Excel
Salary- 15k- 20k Permonth
Location: Marol, Andheri (East)