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10/03 HR
Human Resources at Medconverge Healthcare Services Pvt Ltd

Views:90 Applications:15 Rec. Actions:Recruiter Actions:0

MedConverge - Telecaller - Account Receivable Process (0-5 yrs)

Hyderabad/Secunderabad Job Code: 261971

0 - 5 years

Hyderabad/Secunderabad( Jubilee Hills

AR Caller/Senior AR Caller

Job description :

As an AR caller, you will be responsible for making calls to insurance companies to follow up on pending claims. We are looking for people with excellent spoken English skills, preferably with experience in Account Receivables and Denial Management processes.

Responsibilities :

- Perform pre-call analysis and check the status by calling the payer or by using web portal services

- Maintain adequate documentation on the client software to the end necessary documentation to insurance companies

- Perform post-call analysis for the claim follow-up

- Follow up with the payer to check on claim status

- Follow-up with the provider on any documentation that is insufficient or unclear

- Perform analysis of Accounts Receivable data and understand the reasons for underpayment, days in A/R, top denial reasons, and use of appropriate codes in the documentation of the reasons for denials/underpayments

Skills/Experience :

- 1-4 Years experience in Accounts Receivable follow-up/Denial Management for US healthcare

- Fluent verbal communication abilities

- Knowledge of Denial Management and A/R fundamentals will be preferred

- Willingness to work in night shifts

- Knowledge of Healthcare terminology and ICD/CPT codes will be considered a plus

- Strong reporting skills

- Familiar with Microsoft Excel

Must-Have :

- High comfort level working in Eastern Time Zone/US Shift

- Good internet access at home

- Laptop/Desktop of at least 4 GB RAM and Windows 10 OS

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