Job Description

Roles and 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 transparent 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 benefits received etc prior to making the call.

- 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.

- Ensuring the daily assigned accounts are resolved/ worked on.

- Escalate difficult collection situations to Team Leaders situations and seek education and instruction.

📌 Test - Voice Process (Chennai)
🏢 Important Company of the Sector
📍 Chennai