Minimum 3 years of experience in US Healthcare Accounts Receivable (AR).
Strong understanding of healthcare claims processing and denials management.
Excellent communication skills with a professional phone demeanor.
Good organizational and multi-tasking abilities.
Requirements:
Initiate calls to check the status of claims in the queue.
Contact insurance companies for explanations on denials and underpayments.
Take actions to resolve claims and ensure timely follow-up.
Document all actions and prioritize pending claims for calling.
Job description
Responsibilities :
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 followup 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, LOAs 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 followup.
Ability to multitask.
Excellent analytical skills with understanding of health care claims processing.
