- Industry Type: RCM / US Healthcare
Location: Navi Mumbai (Ghansoli)
Division: Revenue Cycle Management (RCM)
Job Responsibilities
- Perform pre-call analysis and check status by calling the payer or using IVR or web portal services.
- Maintain adequate documentation on the client software to send 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 that customer enquiries 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 the client's systems, interpret the explanation of benefits received, etc. prior to making the call.
- Perform analysis of accounts receivable data and understand the reasons for underpayment, days in AR, and top denial reasons; use appropriate codes to be used in documentation of the reasons for denials/underpayments.
Requirements
- HSC/bachelor's degree in any discipline.
- Good communication and analytical skills.
- Strong knowledge of medical billing concepts.
- Ready to work in night shifts.
Education: HSC/Graduate (Any stream).
Employment Type: Full Time, Permanent. Night shift.
Perks and benefits: Home Drop Facility, Free Dinner Facility, 5 days working (Monday to Friday), and performance-based incentives.
