Responsible for calling Insurance companies (in the US) on behalf of Physicians/Clinics/Hospitals and follow up on outstanding Accounts Receivables
Should be able to convince the insurance company (payers) for payment of their outstanding claims
Sound knowledge in U. S. Healthcare Domain (provider side) and methods for improvement on the same
Should have basic knowledge of the entire Revenue Cycle Management (RCM)
Manage & develop collaterals as required
To check with Team Leader for client updates
Meeting all set productivity and quality targets with TAT
Identify issues and escalate the same to the Team Leader/Manager
Update Production logs
Adherence to company policies, rules and regulations
To follow quality processes using checklist
Adherence to HIPAA guidelines
Responsible for complying with all QMS and ISMS Policies and procedure
Knowledge of Speciality billing with experience in Transplant/Gift Of Life/Organ Procurement billing and follow-up, identify the right changes and billing the same to the specific Organ procurement will be added advantage
Eligibility
1 to 3 years of relevant experience in provider side (US based AR activities)
Hands-on Experience in Analysis and calling Insurance companies
Excellent Oral and Written communication
Having knowledge of EPIC software is desirable
Should be ready to work on the claims $5, 000 at Day 60
Accounts will qualify to you to work at day 60 from bill date in specific WQs that you will work in Epic
Should be open to Work from Office in US Timings - EST hours
