What You Will Do
Initiate calls requesting status of claims in queue.
Contact insurance companies for further explanation of denials and underpayments
Take appropriate action on claims to guarantee resolution.
Ensure accurate and timely follow up where required.
Document actions taken in claims billing summary notes
To prioritize the pending claims for calling from the aging basket
To make a physical call by following the international norms and applicable rules for confidentiality and HIPAA compliance.
Responsible for working on Denials, Rejections, LOAs to accounts, making required corrections to claims.
Shall understand and abide by the organizations information security policy and protect the confidentiality, integrity and availability of all information assets.
Shall report incidents related to security of information to concerned authorities.
What You Will Need
Must be a graduate
Valuable voice and demonstrate skilled demeanour via phone.
Must have 4 + yrs of experience in US Healthcare stream in AR
Positive organizational skills demonstrating the ability to execute timely follow-up.
Ability to multi-task.
Excellent analytical skills with understanding of health care claims processing.
What Would Be Nice To Have:
Experience in MS Office Suite
Disclaimer : This job posting has been aggregated from external source. Role details, content, and availability are subject to change. Applicants are advised to confirm the latest information directly on the company website before applying.
📌 Lead Associate Hyderabad
🏢 Guidehouse
📍 Hyderabad
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