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Post
Hiring Now ! Hospital Billing/Denial Management/UB04 - Senior AR - Voice
Job Category: Executive
Requisition Number: HIRIN002098
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Posting Details
Showing 1 location
India- Bangalore
Zinnia, Outer Ring Rd
7th Floor, Block 8c
Karnataka, IND 560103, IND
India- Bangalore
Zinnia, Outer Ring Rd
7th Floor, Block 8c
Karnataka, IND 560103, IND
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Job Details
Description
Key Roles & Responsibilities
- Review and analyze denied, rejected, and underpaid hospital claims.
- Contact insurance companies via calls to determine claim status and denial reasons.
- Investigate authorization, eligibility, coding, medical necessity, duplicate, and billing-related denials.
- Work on denial corrections, claim resubmissions, and reconsiderations.
- Prepare and submit appeals with supporting documentation when required.
- Follow up on outstanding accounts receivable to ensure timely reimbursement.
- Utilize payer portals, IVR systems, and billing software to research claims.
- Maintain accurate documentation of all actions taken on accounts.
- Escalate complex denials to appropriate internal teams when necessary.
- Identify recurring denial trends and recommend process improvements.
- Meet productivity, quality, and collection targets as defined by the client.
- Ensure compliance with HIPAA, payer guidelines, and hospital billing policies
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