Perform pre-call analysis
and check status by calling the payer or using IVR or web portal services
Maintain adequate
documentation on the client software to send necessary documentation to insurance
companies and maintain a clear audit trail for future reference
Record after-call actions
and perform post call analysis for the claim follow-up
Assess and resolve
enquiries, requests and complaints through calling to ensure that customer enquiries are
resolved at first point of contact
Provide accurate product/
service information to customer, research available documentation including
authorization, nursing notes, medical documentation on client's systems, interpret
explanation of benefits received etc prior to making the call
Perform analysis of
accounts receivable data and understand the reasons for underpayment, days in A/R, top
denial reasons, use appropriate codes to be used in documentation of the reasons for
denials / underpayments
To be considered for this position, applicants need to meet the
following qualification criteria:
1-4 Years experience in
accounts receivable follow-up / denial management for US healthcare customers
Fluent verbal communication
abilities / call center expertise
Knowledge on Denials
management and A/R fundamentals will be preferred
Willingness to work
continuously in night shifts
Basic working knowledge of
computers.
Prior experience of working
in a medical billing company and use of medical billing software will be considered an
advantage. Access Healthcare will provide training on the client's medical billing
software as part of the training.
Knowledge of Healthcare
terminology and ICD/CPT codes will be considered a plus