About Job Role
- Prepare and submit medical claims to insurance companies accurately and in a
timely manner.
- Ensure that all required documentation, such as medical records and invoices, is
attached to support the claims
- Regularly follow up on unpaid or underpaid claims with insurance companies.
- Use various communication channels, including phone calls and written
correspondence, to resolve outstanding issues.
- Investigate and address claim denials promptly.
- Determine the reasons for denials and take corrective actions to reprocess or appeal
denied claims.
- Communicate effectively with insurance representatives to resolve claim issues and
obtain information.
- Establish and maintain positive relationships with insurance companies to facilitate
smoother claims processing.
- Communicate with patients regarding their account balances, explaining any
insurance-related matters or financial responsibilities.
- Assist patients with questions related to billing and insurance.
- Follow the organisation's policies, procedures, and compliance standards.
- Stay informed about changes in healthcare regulations that may impact billing
practices.
Required Skilled Sets
- Any graduate
- Prior calling experience would be an added advantage.
- Fluent verbal communication abilities.
- Willing to work in night shift (US shift)
- Good understanding of the overall Revenue Cycle Management to effectively
work on AR.
Compensation
- As per Industry standards
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