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Quality Control Analyst - AR

Quality Control Analyst - AR

ConfidentialChennai
25 days ago
Job description

Roles and Responsibilities :

  • Should have experience in handling US Healthcare Medical Billing.
  • To work closely with the team leader.
  • Ensure that the deliverables to the client adhere to the quality standards.
  • Responsible for working on denials, prior authorization, eligibility verification, rejections, making required corrections to claims.
  • Calling the insurance carrier & documenting the actions taken in claims billing summary notes.
  • To review emails for any updates.
  • Identify issues and escalate the same to the immediate supervisor.
  • Strict adherence to the company policies and procedures.

Desired Candidate Profile :

  • Extensive Quality experience Audits, Coaching & training as per process defined.
  • Min of 1.5 Yrs of Professional and Relevant Experience
  • Sound knowledge in Healthcare concept.
  • Should have 3 to 6 years of Account Receivable experience.
  • Excellent knowledge of Denial management.
  • Excellent knowledge of Physician Billing / Hospital Billing.
  • Should be proficient in calling the insurance companies.
  • Ensure targeted collections are met on a daily / monthly basis.
  • Meet the productivity targets of clients within the stipulated time.
  • Ensure accurate and timely follow-up on pending claims when required.
  • Prepare and maintain status reports.
  • Perks and Benefits :

  • 5 Days Working
  • 2-way cab facility
  • Provident Fund
  • Gratuity
  • GLTI
  • Incentives
  • Medical Insurance
  • Skills Required

    Hospital Billing, Voice Process, physician billing, Denial Management

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    Quality Control Analyst • Chennai