- Claim Follow-Up: Call insurance companies, check the status of pending/outstanding claims via phone, IVR, or web portals, and track aging receivables.
- Denial Management: Investigate, analyze, and resolve rejected, underpaid, or denied claims.
- Appeals & Resubmissions: Correct billing or coding errors, prepare and submit appeals, and request Reprocessing or Explanation of Benefits (EOB) documents.
- Documentation & Auditing: Record detailed notes of all payer interactions, call reference numbers, and follow-up actions inside practice management or billing software.
- Coordination: Work alongside medical coders, billing teams, and client representatives to fix root-cause errors and lower accounts receivable (AR) days.
- Patient & Payer Communication: Address patient billing inquiries or transfer balances when insurance coverage is exhausted or unavailable.
Key Skills & Requirements
- Industry Knowledge: Understanding of the end-to-end U.S.
Healthcare Revenue Cycle Management (RCM) lifecycle, CPT/ICD-10 coding basics, and HIPAA compliance.
- Communication & Negotiation: Transparent verbal and written English communication skills to negotiate maximum reimbursement with insurance representatives.
- Technical Proficiency: Experience with Electronic Health Record (EHR) / Practice Management (PM) systems, insurance payer portals, and Excel.
- Experience Level: Ranging from freshers (with paid training or voice process orientation) to experienced executives with 1 to 5+ years in medical billing or denial management.
Pay: ₹19,000.00 - ₹45,000.00 per month
Benefits:
- Commuter assistance
- Food provided
- Leave encashment
- Paid sick time
- Provident Fund