Key Roles & Responsibilities

- Review and analyze denied, rejected, and underpaid hospital claims.

- Contact insurance companies via calls to determine claim status and denial reasons.

- Investigate authorization, eligibility, coding, medical necessity, duplicate, and billing-related denials.

- Work on denial corrections, claim resubmissions, and reconsiderations.

- Prepare and submit appeals with supporting documentation when required.

- Follow up on outstanding accounts receivable to ensure timely reimbursement.

- Utilize payer portals, IVR systems, and billing software to research claims.

- Maintain accurate documentation of all actions taken on accounts.

- Escalate complex denials to appropriate internal teams when necessary.

- Identify recurring denial trends and recommend process improvements.

- Meet productivity, quality, and collection targets as defined by the client.

- Ensure compliance with HIPAA, payer guidelines, and hospital billing policies

📌 Hiring Now ! Hospital Billing/Denial Management/Senior AR - Voice (Karnataka)
🏢 Getixhealth
📍 Karnataka