Job description

Role & responsibilities

- 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 AR, top denial reasons, use appropriate codes to be used in documentation of the reasons for denials / underpayments

Preferred candidate profile

- Candidates should have experience in denial management
- Having background in handling insurance calls
- Should posses skills to analyze and address denial issues.
- Minimum qualification required is HSC
- Excellent communication skills.

Perks and perks

- 5 days working
- Free Dinner
- Home Drop
- Performance based incentives

Contact:

- Uma : (phone hidden) / [email protected]

Address:



IT Building Q1, Aurum Platz Private Limited SEZ. Plot No. Gen 4/1, Trans Thane Creek Industrial Area. MIDC, Thane-Belapur Road. Ghansoli. Thane, Navi Mumbai 400 710

Maharashtra. India

Role: Voice / Blended - Other

Industry Type: Medical Services / Hospital

Department: Customer Success, Service & Operations

Employment Type: Full Time, Permanent

Role Category: Voice / Blended

Education

UG: Graduation Not Required

Key Skills

Skills highlighted with ‘‘ are preferred keyskills

AR Calling

Revenue Cycle ManagementUS HealthcareDenial Management

About company

TRIARQ Health is a Physician Practice Services company that partners with doctors to run modern patient- centered practices so they can be rewarded for delivering high-value care. TRIARQs Physician-led partnerships simplify practices transition to value-based care by combining our proprietary, cloud-based practice, care management platform and patient engagement services to help doctors focus on better outcomes.

Company Info

Address:IT Building Q1, Aurum Platz Private Limited — SEZ. Plot No. Gen 4/1, Trans Thane Creek Industrial Area. MIDC, Thane-Belapur Road. Ghansoli. Thane, Navi Mumbai — 400 710 Maharashtra. India

Pay: ₹20,000.00 - ₹38,000.00 per month

Benefits:

- Food provided
- Health insurance
- Provident Fund

Work Location: In person

📌 AR Associate (Ghansoli)
🏢 Triarq Health
📍 Ghansoli