Medical Billing Executive

HR Consultings

Non - Tech Support - Voice / Blended

• Perform pre-call analysis and check the status by calling the payer or using IVR or web portal services

• Maintain adequate documentation on the client software to send the 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 inquiries, requests, and complaints through calling to ensure those customer inquiries are resolved at the first point of contact

• Provide accurate product service information to the customer, research available documentation including authorization, nursing notes, medical documentation on client's 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/underpayments JOB 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 of 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 client's medical billing software as part of the training.

• Knowledge of Healthcare terminology and ICD/CPT codes will be considered a plus

• Experience

  0 - 3 Years

• No. of Openings

  10

• Education

  Any Bachelor Degree

• Role

  Billing Executive

• 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