Key Responsibilities:
Inbound Calls (Handling Patient Inquiries & Support):
- Answer incoming calls from patients regarding medical bills, insurance coverage, and payment options.
- Provide accurate and clear explanations of patient balances, EOB (Explanation of Advantages), and claim statuses.
- Address patient concerns regarding denied claims, billing discrepancies, and financial assistance options.
- Assist patients in verifying insurance eligibility, coverage limits, and copay/deductible responsibilities.
- Handle patient inquiries regarding prior authorizations and pre-certifications, as needed.
- Document call interactions and update patient accounts with relevant notes and actions.
Outbound Calls (Proactive Patient Communication & Follow-ups):
- Conduct outbound calls to patients for payment reminders, outstanding balances, and payment plan arrangements.
- Follow up on denied claims and coordinate with patients for necessary information or documents for claim resubmission.
- Reach out to patients to confirm insurance details and ensure updated policy information is on file.
- Notify patients about their financial responsibility before scheduled medical services and procedures.
- Conduct patient satisfaction surveys and address concerns related to billing services.
- Escalate unresolved billing issues to the appropriate RCM or collections department for further action.
Insurance & Financial Assistance Coordination:
- Verify patient insurance eligibility and benefits for medical procedures.
- Educate patients on payment options, including self-pay discounts, installment plans, and third-party financing.
Documentation & Compliance:
- Accurately document all patient interactions, payment agreements, and resolutions in the system.
- Maintain confidentiality and compliance with HIPAA regulations regarding patient information.
- Adhere to company policies, industry standards, and payer-specific guidelines for billing and collections.
Required Qualifications & Skil
📌 Patient Callers (Chennai)
🏢 iMagnum Healthcare Solution
📍 Chennai
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