- 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 advantages 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.
Perks and benefits
- 5 days working
- Free Dinner
- Home Drop
- Performance-based incentives
Please Call or Whatsapp for more details. Deepika - (phone hidden)
📌 Hiring - Senior AR Caller_Triarq Health (Mumbai)
🏢 TRIARQ
📍 Mumbai
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