- Review outstanding insurance balances to identify and resolve issues preventing the claim payment, including coordination with the payers when appropriate via call or through website - Analyze the outstanding claims/claim denials to improve first pass denial rates and reduce age of overall AR - Ensure that all the workflow items are completed within set turn around time within quality expectations - Responsible to follow up with insurance/payer for the claim status - Responsible for sending appeal package through appropriate channels (fax/email/electronic portals) along with attaching the supporting documents such as medical records - Confirm patient’s insurance coverage and active status - Contact insurance/payer or use online portals for real time verification Key Responsibilities EVBV:
- Verify patient insurance coverage and eligibility for medical services - Contact insurance companies via phone, online portals, or fax to confirm benefits and policy details - Accurately document insurance verification details in the system - Identify and resolve discrepancies in insurance information Qualification: Graduate from any discipline.
Required
Skills
- Ability to communicate effectively - Good analytical skills where you can analyze the reason for rejection and/or denial - Good writing skills - Proven efficient and accurate keyboard/typing skills - Adaptable to work in night shift