Job Description

•    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.
•    Record after-call actions and perform post call analysis for the claim follow-up.
•    Assess and resolve enquiries, requests and complaints through calling to ensure that customer enquiries are resolved at first point of contact.
•    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.
•    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.

JOB REQUIREMENTS:
To be considered for this position, applicants need to meet the following qualification criteria:
•    0-4 Years’ experience in accounts receivable follow-up / denial management for US healthcare customers.
•    Excellent verbal communication abilities / call centre expertise.
•    Knowledge on Denials management and A/R fundamentals will be preferred.
•    Willingness to work continuously in night shifts.
•    Basic working knowledge of computers.
•    Prior experience of working in a medical billing company and use of medical billing software will be considered an advantage. TechIndia will provide training on the client's medical billing software as part of the training.
•    A brief understanding on the entire Medical Billing Cycle.
•    Knowledge of Healthcare terminology and ICD10 /CPT codes will be considered a plus.