1.Perform pre-call analysis and check status by calling the payer or using IVR or web portal Services
2.Maintain adequate documentation on the client software to send necessary documentation to Insurance companies and maintain a clear audit trail for future reference
3. Record after-call actions and perform post call analysis for the claim follow-up
4. Assess and resolve enquiries, requests and complaints through calling to ensure that customer enquiries are resolved at first point of contact.
5. Provide accurate product/service information to 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
6.Receive payment information if the claims have been processed.
7. Analyze claims in case of rejections
8. Use appropriate codes to be used in documentation of the reasons for denials/ underpayments.
9.Ensure deliverables adhere to quality standards
Candidate Requirement:
Good Knowledge in Healthcare
Knowledge on various report generation
Knowledge on Denial management
Atleast 6 months experience working on Hospital billing claims - UB-04
Should work in night Shifts
T3COGNO Private Limited is a HR Services Company that offers end to end HR services and solutions to clients globally. Our vision is - To be a premier global talent services partner that empowers the business and our mission is to provide efficient, impactful and agile services/solutions and make a difference to our clients business. We believe in being an extended service wing for our partners.
We provide Talent Acquisition services including Executive search and Permanent Recruitment at various levels.
T3Cogno acts as a specialized consultant, enabling tailored end-to-end HRO services and is a solution enabler.
Why choose us?
Tailored Recruiting: Our Full Cycle Recruiting service is designed to meet your specific needs, from role design to offer acceptance.
Precision Sourcing & Screening:
We master the art of reaching the right audience, leveraging digital platforms and traditional channels with industry-specific market mapping and benchmarking activities.
Flexible Support:
Whether you need on-demand recruiters or assistance with project-specific hiring, we can scale both Vertically and Horizontally as per demand.
Cost-Efficient & Rapid:
Our Project RPO service is agile and efficient, perfect for seasonal or sudden hiring needs.
Our services streamline your hiring process, save costs, and ensure you attract top talent in an evolving marketplace.
