Job Description
- (Training will be provided for freshers)
- Perform pre-call analysis and check the status by calling the payer or using IVR or web portal services
- Maintain adequate documentation on the client software to send the 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 inquiries, requests, and complaints through calling to ensure those customer inquiries are resolved at the first point of contact
- Provide accurate product/ service information to the 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
SKILLS AND QUALIFICATIONS REQUIRED
- Candidate must be fluent in English. Prior experience in an international call center is an advantage, but not compulsory
- Flexibility to work in night shift, according to US office timings and holiday calendars
- Fast learner with the ability to talk to people effectively, and adapt well to different situations for meeting operational goals
- Basic working knowledge of computers
- Degree/diploma in arts or sciences without any current arrears. BTech, BE, MBA, MCA and other qualified courses will not be considered, as this is an entry level call centre position
📌 Accounts Receivable (Pune)
🏢 Access Healthcare Services
📍 Pune
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