Walkin Drive

Roles and Responsibilities

• Call Payer (Insurance) to resolve claims (denial / non-denial) after review from PMS, internal system & process toward resolution (Payment, Adjustment & self-pay).
• Identify potential process improvements, trends, issues and escalate to Supervisor through calling.
• Follow the Workflow documentation like SOPs Update tracker, Issue Log and Trend logs.
• Be part of all the training session to gain knowledge towards RCM.
• Resolve complex patient account issues requiring investigation of system timeline comments, payer reimbursements and account transactions
• Identify the accounts which does not require calling and can be fixed by Analyst to resolve
• Logical thinking to identify the trends, resolve accounts for an error free account
• Identify payer issues and leads special projects to aggregate claim data for payer reprocessing and escalate complex payer issues to the lead billing specialist as necessary Roles and Responsibilities
• Call Payer (Insurance) to resolve claims (denial / non-denial) after review from PMS, internal system & process toward resolution (Payment, Adjustment & self-pay).
• Identify potential process improvements, trends, issues and escalate to Supervisor through calling.
• Follow the Workflow documentation like SOPs Update tracker, Issue Log and Trend logs.
• Be part of all the training session to gain knowledge towards RCM.
• Resolve complex patient account issues requiring investigation of system timeline comments, payer reimbursements and account transactions
• Identify the accounts which does not require calling and can be fixed by Analyst to resolve
• Logical thinking to identify the trends, resolve accounts for an error free account
• Identify payer issues and leads special projects to aggregate claim data for payer reprocessing and escalate complex payer issues to the lead billing specialist as necessary

Desired Candidate Profile

Perks and Benefits

Skills Required

Csr, Cse, Inbound Voice Process, Excellent Communication Skills, Inbound Customer Service, Us Process