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Responsibility Areas
The User is accountable to manage day to day activities of Denials Processing / Claims follow-up
Responsibility Areas:
1. Should handle US Healthcare providers/ Physicians/ Accounts Receivable.
2. To work closely with the team leader.
3. Ensure that the deliverables to the client adhere to the quality standards.
4. Responsible for working on Denials, Rejections, LOA's to accounts, making required
corrections to claims.
5. Calling the insurance carrier & Document the actions taken in claims billing summary notes.
6. To review emails for any updates
7. Identify issues and escalate the same to the immediate supervisor
8. Update Production logs
9. Strict adherence to the company policies and procedures.
Desired Profile
1. Sound knowledge in Healthcare concept(Physician Billing).
2. Should have Minimum 2 Year of AR calling Experience in US Healthcare.
3. Excellent Knowledge on RCM, Medicare, Medicad, Hospice, HMO, PPO, POS, EPO, MCO plans, Modifiers, CPT codes, Office code visits, Drug codes, Appeals, Denial management, CMS-1500 form, clearing house etc.
4. Understand the client requirements and specifications of the project
5. Should be proficient in calling the insurance companies.
6. Ensure targeted collections are met on a daily / monthly basis
7. Meet the productivity targets of clients within the stipulated time.
8. Ensure accurate and timely follow up on pending claims wherein required.
9. Prepare and Maintain status reports.
Omega Healthcare helps payers, providers, and pharmaceutical companies increase efficiencies, accelerate cash flow, and reduce health management costs while enhancing patient care. Our technology-enabled services and solutions streamline medical billing, coding, and collections processes and offer telephone and message triage services to provide industry-leading, comprehensive and scalable outsourced revenue cycle management solutions. Combining the largest medical coding staff in the world with proprietary technology, analytics, and automation capabilities, Omega is ranked among the top tech-enabled revenue cycle management business process services by industry analysts. The company, backed by Goldman Sachs Merchant Banking and Ever stone Group, was founded in 2003 and has more than 30,000 employees across India, the Philippines, and the United States.
Job ID: 114469705
