14 Nov
|
Access Healthcare
|
Chennai
14 Nov
Access Healthcare
Chennai
We're Hiring | Immediate Joiner
Position : AR caller Hospital Billing / Physician Billing
Job Location: Chennai - Ambattur
Shift Timing: US Shift / Night Shift
Free Cab
Key Responsibilities Hospital Billing
- Follow up with insurance companies regarding outstanding hospital claims.
- Check claim status for inpatient and outpatient services.
- Review UB-04 (CMS-1450) claim forms.
- Handle claims related to emergency room, surgery, radiology, laboratory, and inpatient services.
- Identify and resolve claim denials and underpayments.
- Follow up on authorization and medical necessity denials.
- Check DRG-related reimbursement and payment discrepancies.
- Handle coordination of benefits (COB) issues.
- Review Explanation of Perks (EOB) and Electronic Remittance Advice (ERA).
- Initiate appeals and reconsiderations for denied claims.
- Ensure timely resolution of pending insurance claims.
Key Responsibilities Physician Billing
- Follow up with insurance companies for outstanding physician claims.
- Check claim status for professional services.
- Review CMS-1500 claim forms.
- Handle claims related to consultations, office visits, surgeries, and specialist services.
- Verify CPT, ICD-10, and HCPCS codes.
- Identify and resolve coding-related denials.
- Follow up on modifier-related denials (25, 26, 50, 59, etc.).
- Handle bundling and unbundling issues.
- Resolve authorization and eligibility-related denials.
- Review EOBs and payment discrepancies.
- Submit corrected claims, appeals, and reconsiderations.
Contact: HR Arulmozhi - (phone hidden)
📌 AR caller | Hospital Billing (Chennai)
🏢 Access Healthcare
📍 Chennai