Job Title: Associate & Senior Associate - AR Caller & AR Calling

Location : Hyderabad, Chennai & Noida

Salary/rate : As per industries

Requirements: Calling Experiences for US Healthcare (Provider Side)

Shift: Night Shift - 5:30 pm - 8:30 pm

Currently working in Hybrid Model.

About Role :

- 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.

Responsibility:

- To be considered for this position, applicants need to meet the following qualification criteria :

- 1-6 Years of 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. We 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.

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