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 ExperienceSound 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 Working2-way cab facilityProvident FundGratuityGLTIIncentivesMedical InsuranceSkills Required
Hospital Billing, Voice Process, physician billing, Denial Management