Perform pre-call analysis and check the status by calling the payer or using IVR or web portal services
Maintain adequate documentation on the client software to send the necessary documentation to insurance companies and maintain a clear audit trail for future reference
Record after-call actions and perform post-call analysis for the claim follow-up
Assess and resolve inquiries, requests, and complaints through calling to ensure those customer inquiries are resolved at the first point of contact
Provide accurate product/ service information to the customer, research available documentation including authorization, nursing notes, medical documentation on client's systems, interpret explanation of benefits received, etc. before making the call
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
To be considered for this position, applicants need to meet the following qualification criteria:
1-4 Years experience in accounts receivable follow-up/denial management for US healthcare customers
Fluent verbal communication abilities/call center expertise
Knowledge of Denials management and A/R fundamentals will be preferred
Willingness to work continuously in night shifts
Basic working knowledge of computers.
Prior experience working in a medical billing company and using medical billing software will be considered an advantage. Access Healthcare will provide training on the client's medical billing software as part of the training.
Knowledge of Healthcare terminology and ICD/CPT codes will be considered a plus.
Client Partner - Accounts Receivable (AR Caller) • Noida, India
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