Working in U.S. Shifts, the executives in this department, collect billing outstanding, on behalf of Doctors, Hospitals and Healthcare providers.
Job Requisites
Under Graduation Degree – Preferably, Arts and Science
Excellent English Communication Skills
Adherence to U.S. Shift Timings
Positive analytical and listening skills
Working knowledge in MS office
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 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 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.