Key job Accountability:
Responsible for attending patient calls and answering patient queries.
Communicate respectfully and politely with all patients.
Developing and maintaining a detailed call database.
Professionally handle all inbound calls and resolve queries as per TAT guidelines.
Responsible for making outbound calls as required.
Perform script (with necessary adjustments as required) to ensure consistency of customer/patient queries.
Responsible for daily/weekly/monthly MIS reporting via email/CRM/Excel.
Experience on Data Entry, Patients Collections, Charges, Denials, Rejections, Eligibility verification, Insurance Processing, Payment Posting, Customer Service duties will be big plus.
Answering patient calls as required and providing faster resolutions.
Should be comfortable with voice process.
Required candidate profile:
Relevant experience in a USA health care medical billing or RCM office capacity with related job duties and responsibilities.
Experience of QA/Audits and Team management, client interaction/client account management will be big plus.
Must have at least 3+ yrs. experience in patient calls. Physician billing; specifically, chiropractic, mental health, behavioral health, nephrology etc.
Understand CMS-1500 and UB-04 claim formats. Typing speed, at least 45 WPM.
Third party payer requirements. Account management experience will be a big plus.
Must have knowledge of medical billing software, preferably Kareo, Therapy Notes, Simple Practice, YouthCare, Theranest or any other similar.
Good knowledge of Microsoft 365 office applications like Teams, Outlook, CRM Dynamics, OneDrive etc.
• Experience of other areas of RCM like credentialing and medical coding will be given preference.