Preferred Skills, Education, and Experience:
- Any graduate
- Good communication skills and fair command of English language
- Experienced in AR Follow-up and Denials Management
- Good understanding of the US Healthcare revenue cycle and its intricacies
- Excellent analytical and comprehension skills
Roles and Responsibilities:
- Review providers claims that have not been paid by the insurance companies
- Follow-up with Insurance companies to understand the status of the claim - Initiate telephone calls or verify through payer websites or otherwise request the required information from insurance companies. Contact insurance companies for further explanation of denials and underpayments and where needed, prepare appeal packets for submission to payers
- Based on the responses/ findings, make the necessary corrections to the claim and re-submit/ refile as the case may be
- Document actions are taken into claims billing system
- Meet the established performance standards daily
- Improve skills on CPT codes and DX Codes. Make collections with a convincing approach.
