- Responsible for calling Insurance companies (in US) on behalf of doctors/physicians for Claim Status, Eligibility verification and follow-up on outstanding Accounts Receivable.
- Responsible for timely and appropriate follow-up actions against outstanding Accounts Receivable based on denial reasons.
- To identify and resolve medical claims billing and reimbursement issues and aimed at maximizing collections and minimizing accounts receivables.
- Responsible for denial trend analysis, Payer reimbursement guidelines and resolving bulk issues or escalate to management for further review.
- Handling EDI rejections
Preferred candidate profile
- Excellent Communication skills
- Should be willing to work in US Shift (Night Shift).
- Valuable computer skills including Microsoft Office.
- Excellent analytical skills
- Should be well versed with rules and regulations of US Healthcare.