Job Details

Description

Roles & Responsibilities

- Perform AR follow-up on outstanding insurance claims and denied claims.

- Contact insurance companies via calls, IVR, or web portals to obtain claim status.

- Investigate and resolve claim denials, underpayments, and payment delays.

- Analyze EOBs (Explanation of Perks) and determine appropriate actions.

- Work on denial management and appeals to maximize reimbursements.

- Document call outcomes and update claim status accurately in the billing system.

- Identify trends in denials and recommend corrective actions.

- Follow up on pending claims and ensure timely resolution.

- Maintain productivity and quality standards as defined by the organization.

- Collaborate with billing and coding teams to resolve claim-related issues.

Required Skills

- Knowledge of US Healthcare and Medical Billing processes.

- Experience in AR Follow-up and Denial Management.

- Understanding of Medicare, Medicaid, and Commercial Insurance policies.

- Strong verbal and written communication skills.

- Good analytical and problem-solving abilities.

- Ability to work with billing software and MS Excel.

- Ability to meet productivity and quality targets

📌 Immediate Hiring! Denial Management- Voice (Physican Billing and Hospital Billing) (Bengaluru)
🏢 Getixhealth
📍 Bengaluru