Roles and Responsibilities
- Call Payer (Insurance) to resolve claims (denial/non-denial) after review from PMS, internal system & process toward resolution (Payment, Adjustment & self-pay).
- Identify potential process improvements, trends, issues and escalate to Supervisor through calling.
- Follow the Workflow documentation like SOPs Update tracker, Issue Log and Trend logs.
- Be part of all the training session to gain knowledge towards RCM.
- Resolve complex patient account issues requiring investigation of system timeline comments, payer reimbursements and account transactions
- Identify the accounts which does not require calling and can be fixed by Analyst to resolve
- Logical thinking to identify the trends, resolve accounts for an error free account
- Identify payer issues and leads special projects to aggregate claim data for payer reprocessing and escalate complex payer issues to the lead billing specialist as necessary Roles and Responsibilities
- Call Payer (Insurance) to resolve claims (denial/non-denial) after review from PMS, internal system & process toward resolution (Payment, Adjustment & self-pay).
- Identify potential process improvements, trends, issues and escalate to Supervisor through calling.
- Follow the Workflow documentation like SOPs Update tracker, Issue Log and Trend logs.
- Be part of all the training session to gain knowledge towards RCM.
- Resolve complex patient account issues requiring investigation of system timeline comments, payer reimbursements and account transactions
- Identify the accounts which does not require calling and can be fixed by Analyst to resolve
- Logical thinking to identify the trends, resolve accounts for an error free account
- Identify payer issues and leads special projects to aggregate claim data for payer reprocessing and escalate complex payer issues to the lead billing specialist as necessary
Desired Candidate Profile
- Minimum 1 Yr Call Center Experience
- Graduates or Under Graduates
- Good communication skills
Perks and Benefits
- Quarterly Incentives
- 5 days a week
- All US holidays along with Indian Holidays
- Very lucrative employee referral policy Desired Candidate Profile.
