3+ years of experience in US Healthcare Accounts Receivable (AR), Strong analytical skills with a solid understanding of healthcare claims processing, Good organizational skills and ability to execute timely follow-up, Professional demeanor and effective communication skills over the phone..
Key responsabilities:
Initiate calls to check the status of claims in the queue
Contact insurance companies to clarify denials and underpayments
Document actions taken in claims billing summary notes
Prioritize pending claims and ensure compliance with confidentiality and HIPAA regulations.
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Yitro Global
51 - 200
Employees
About Yitro Global
ABOUT YITRO
In the business of connecting Excellence. As your partners, we represent you professionally throughout your growth cycle. Our deep expertise allows us to negotiate great value for our client organization.
The very crux of our business model is to manage the resourcing needs of an organization through a trusted partner. A partner who takes complete ownership of all open items and drive them to closure. Our business models bring credible & dependable solutions. We strive to earn the trust of our customers through our commitment and result-driven approach.
Global experience in spearheading Program Transitions in a Build, Operate and Manage/ Transfer model for our International clients, helping them set up their MANAGED CAPTIVES in no time. Specialized in TURN KEY projects, We also provide the flexibility for our clients to choose from an a la carte of services. Starting from Site Selection services, Leadership Hiring, Talent Acquisition, Operation Management, Revenue Management, General Management till the clients are comfortable to take over. We manage all of these and get the revenue kicking in a TURN KEY project in about 45 to 60 days upon signing the SOW.
At the crux of the team, we bring collective centuries of leadership experience working for some of the top Global services / Product organizations & OEM’s.
We have experience in setting up turnkey projects across India, the Philippines, China, Australia, Dubai, UK, Poland, Ireland, USA.
With a seasoned team that has catered to the world's top Networking, Telecom & Application development captives, and OEM's in setting up their key teams in India and other locations, we will be a strong extended, embedded COE for all your offshoring needs.
Initiate calls requesting status of claims in queue.
Contact insurance companies for further explanation of denials and underpayments
Take appropriate action on claims to guarantee resolution.
Ensure accurate and timely follow-up where required.
Document actions taken in claims billing summary notes
To prioritize the pending claims for calling from the aging basket To make a physical call by following the international norms and applicable rules for confidentiality and HIPAA compliance.
Responsible for working on Denials, Rejections, LOA's to accounts, making required corrections to claims.
Additional Requirements :
Good voice and demonstrate professional demeanor via phone.
Must have 3 + yrs of experience in US Healthcare stream in AR
Good organizational skills demonstrating the ability to execute timely follow-up.
Ability to multi-task.
Excellent analytical skills with understanding of health care claims processing.
Required profile
Experience
Spoken language(s):
English
Check out the description to know which languages are mandatory.