Job Detail

Job description

Responsibility

⁕ Perform pre-call analysis and check status by calling the payer or using IVR or web portal services.

⁕ Maintain adequate documentation on the client software to send necessary documentation to insurance companies and maintain a clear audit trail for future reference.

⁕ Must work the claim to get reimburse in a single touch.

⁕ Must have end to end experience.

⁕ Knowledge in charges, payments, offset, negative balance would be added advantage.

⁕ 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.

⁕ Fluent verbal and written communication.

⁕ Knowledge on Denials management and A/R

Qualifications

A clear vision to work towards resolution & being result oriented,

12 months - 6 Years of experience in accounts receivable follow-up / denial management for US healthcare industry,

Any UG/PG Graduation.