Caller

Company Description

Axtrics Solutions Pvt Ltd specializes in healthcare consulting and technology services, assisting businesses in digital transformation across more than 10 countries globally. With over 500 skilled professionals, the company leverages innovative technologies to deliver customized solutions that enhance customer engagement and drive revenue growth. Axtrics is a leading global BPO enterprise, offering comprehensive back-office and customer-facing services to support the entire customer lifecycle. The organization serves a wide range of industries, applying proven methodologies and integrated IT solutions to address professional challenges effectively.

Key Responsibilities :

• Review, analyze, and manage denied, rejected, or underpaid insurance claims.
• Identify the reason for denials (coding errors, eligibility issues, documentation gaps, policy limits, etc.) and take appropriate corrective action.
• Prepare and submit corrected or appeal claims to insurance payers.
• Monitor accounts receivable aging and prioritize follow-up on high-value or high-priority denials.
• Communicate with insurance companies, patients, and internal teams to resolve payment discrepancies.
• Maintain detailed documentation of denials, follow-ups, and resolutions.
• Collaborate with coding, billing, and clinical teams to minimize future denials and improve claim accuracy.
• Generate reports on denial trends, recovery rates, and AR performance metrics.
• Ensure compliance with HIPAA, payer guidelines, and healthcare billing regulations.
• Support month-end and year-end reporting related to AR and denials.

Qualifications :

Key Competencies :

Skills Required

insurance policies , Ms Office