Key Responsibilities:
Inbound Calls (Handling Patient Inquiries & Support):
Answer incoming calls from patients regarding medical bills, insurance coverage, and payment options.
Provide accurate and explicit 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 advantages 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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