Job Description

Job Profile Summary/Role Objective:

The accounts receivable follow-up team in a healthcare organization is responsible for looking after denied claims and reopening them to receive maximum reimbursement from the insurance companies.

Job Description:

Essential Duties and Responsibilities:

• Follow up with the payer to check on claim status.

• Identify denial reason and work on resolution.

• Save claim from getting written off by timely following up.

• Should have sound knowledge of working on Billing scrubbers and making edits.

• Work on Contractual adjustments & write off projects.

• Should have good Cash collected/Resolution Rate.

• should have calling skills, probing skills and denials understanding.

• Work in all shifts on a rotational basis.

• No Planned leaves for next 6 months.

Qualifications:

• Graduate in any discipline from a recognized educational institute.

• Good analytical skills and proficiency with MS Word, Excel, and PowerPoint.

• Good communication Skills (both written & verbal)

Skill Set:

• Candidate should be good in Denial Management.

• Candidate should have knowledge of Medicare, Medicaid & ICD & CPT codes used on Denials.

• Ability to interact positively with team members, peer group and seniors
  • Experience

    1 - 2 Years

  • No. of Openings

    50

  • Education

    B.A, B.Arch, B.B.A, B.C.A, B.Com, Diploma, Higher Secondary, Any Bachelor Degree

  • Role

    Ar Caller

  • Industry Type

    Call Centre / BPO / KPO / ITES / LPO

  • Gender

    [ Male / Female ]

  • Job Country

    India

  • Type of Job

    Full Time

  • Work Location Type

    Work from Office

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