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 perks 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 possess skills to analyze and address denial issues.

- The minimum qualification required is HSC

- Excellent communication skills.

📌 AR Caller (Navi Mumbai)
🏢 TRIARQ Health India
📍 Navi Mumbai