A successful candidate must have proficient knowledge/capabilities in the following areas:
• Claims management and/or customer service experience desired.
• Ability to perform at a high level of productivity and quality.
• Capacity to maintain a high level of accuracy.
• Excellent written and oral communication skills required to represent Infinx Clients.
• Computer skills including Microsoft Office Suite.
Experience: 2–5 years’ experience US calling process.
Job Description
The job involves an analysis of receivables due from healthcare insurance companies and initiation of necessary follow-up actions to get reimbursed.
This will include a combination of voice and non-voice follow-up along with undertaking appropriate denial and appeal management protocol.
Job Responsibilities
A successful candidate will perform the following activities:
• Review patient accounts and perform appropriate follow up actions to resolve the outstanding balance according to best practice standards.
• Complete and send appropriate claim forms according to CMS and third-party payor guidelines.
• Follow up with medical insurance payors regarding the status of outstanding claims.
• Contact patients and guarantors regarding outstanding self-pay balances due.