ROLE & RESPONSIBILITIES:
Perform AR pre-call analysis and take appropriate action by calling the payer or using IVR or web portal services to resolve the outstanding AR.
Maintain adequate documentation on the Billing software to send necessary documentation to insurance companies and maintain a clear audit trail for future reference.
Immediately notifying the important Global issues identified to cut down the impact on the high dollar AR.
Record after-call actions and perform post call analysis for the claim follow-up.
Perform analysis of accounts receivable data and understand the reasons for underpayment, days in A/R, top denial reasons, use appropriate codes to be used in documentation of the reasons for denials / underpayments.
PREFERRED CANDIDATE PROFILE:
Experience in accounts receivable follow-up / denial management of the US healthcare process.
Fluent verbal communication abilities.
Should possess excellent Denials management and A/R Knowledge.
Willingness to work continuously in night shifts.
Should have worked on Rejection directly through the Clearing House.
Prior experience of working in a medical billing company and use of medical billing software will be considered an advantage. We will provide training on the medical billing software as part of the training.
Knowledge of Healthcare terminology and ICD/CPT codes will be considered a plus.
Qualification: Any Graduation
Total Exp: 1 – 3 Years