Job Description

Training will be provided for freshers)

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 prior to 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

Skills and Qualifications Required

Candidate must be fluent in English. Prior experience in an international call center is an advantage, but not compulsory

Flexibility to work in night shift, according to US office timings and holiday calendars

Fast learner with the ability to talk to people effectively, and adapt well to different situations for meeting operational goals

Basic working knowledge of computers

Degree / diploma in arts or sciences without any current arrears. BTech, BE, MBA, MCA and other professional courses will not be considered, as this is an entry level call centre position