l Perform pre-call analysis and check status by calling the payer or using IVR or web portal services.
l Maintain adequate documentation on the in-house software to send necessary documentation to insurance companies and maintain a clear audit trail for future reference.
l Record after-call actions and perform post call analysis for the claim follow-up.
l Perform analysis of accounts receivable data and understand the reasons for underpayment, days in A/R, top denial reasons, use appropriate codes to be used in documentation of the reasons for denials / underpayments.
l Manage A/R accounts by ensuring accurate and timely follow-up.
Job Requirements:
l 1-2 Years of experience in accounts receivable follow-up / denial management for US healthcare.
l A brief understanding on the entire Medical Billing Cycle.
l Must possess positive communication skill with neutral accent.
l Must be flexible and should have a positive attitude towards work.
l Must be willing to work in Night Shifts.
l Knowledge of Healthcare terminology and ICD/CPT codes will be considered a plus.