Job description:

Industry Type: RCM / US Healthcare

Location: Navi Mumbai (Ghansoli)

Division: Revenue Cycle Management (RCM)

Interested candidates can drop their CVs at [email protected] or call at (phone hidden).

Job 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 transparent 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 that 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,



and medical documentation on the client's systems; and interpret explanations of benefits received, etc., prior to making the call.
- Perform analysis of accounts receivable data and understand the reasons for underpayment, days in AR, and top denial reasons; use appropriate codes to be used in documentation of the reasons for denials / underpayments.

Requirements:

- HSC/bachelor's degree in any discipline.
- Good communication and analytical skills.
- Strong knowledge of medical billing concepts.
- Ready to work in night shifts.

Education: HSC/Graduate (Any stream)

Shift: Night shift

Perks and benefits: Home Drop Facility, Free Dinner Facility

, 5 days working (Monday to Friday),

Performance-based incentives

Shift: 5:30 PM to 2:30 AM

Benefits

- Food provided
- Health insurance
- Provident Fund
- 1-way cab (Drop)
- Saturday and Sunday Week Off

📌 Senior AR Caller (Navi Mumbai)
🏢 TRIARQ
📍 Navi Mumbai