Key Responsibilities
Claim Follow-Up: Contact insurance companies via phone, email, IVR, or web portals to check the status of pending or unpaid claims.
Denial Management: Investigate, analyze, and resolve denied, rejected, or underpaid claims by identifying root causes.
Appeals & Resubmissions: Coordinate with medical billing and coding teams to fix errors and resubmit claims for maximum reimbursement.
Documentation & Audit Trails: Log all payer interactions, notes, and post-call analyses accurately into client software and billing systems.
Target Achievement: Meet daily and monthly accounts receivable collection and productivity goals (SLAs).
Compliance: Maintain strict adherence to HIPAA guidelines and healthcare industry regulations.

Requirements & Skills
Experience: 0 to 5 years of experience in US Healthcare RCM,



hospital billing (HB), or physician billing (PB).
Communication: Fluent business English verbal and written communication skills.
Technical Knowledge: Understanding of Explanation of Advantages (EOBs), medical billing codes, insurance guidelines, and denial reasons.
Software Proficiency: Familiarity with MS Office (Excel for tracking/reporting) and billing tools or platforms like ALLSCRIPTS, ecw,Epic, Kareo & any other.
Work Mode: Commonly structured as full time, work-from-office roles often requiring night shifts to align with US business hours

Pay: ₹15,000.00 - ₹35,000.00 per month

Work Location: In person

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