Job Description

The User is accountable to manage day to day activities of Denials Processing/ Claims follow-up/ Customer Service.

Responsibility Areas:

· Handle US Healthcare providers/ Physicians/ Hospital's Accounts Receivable.

· To work closely with the team leader.

· Ensure that the deliverables to the client adhere to the quality standards.

· Responsible for working on Denials, Rejections, LOA's to accounts, making required corrections to claims.

· Calling the insurance carrier & Document the actions taken in claims billing summary notes.

· To review emails for any updates

· Identify issues and escalate the same to the immediate supervisor

· Update Production logs

· Strict adherence to the company policies and procedures.

Requirements:

· Sound knowledge in Healthcare concept.

· Must have 1 to 3 years of AR calling Experience and experience in handling Prior Authorization

· Excellent Knowledge on Denial management.

· 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 wherein required.

· Prepare and Maintain status reports

Skills & Education:

· Any degree

· Excellent Communication Skills, Analytical & Good Listening Skills

· Basic Computer Skills