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Build your career with one of India’s largest and fastest growing companies in healthcare revenue cycle management. Join a team that values your work and enables you to become a true partner to your clients by investing in your growth, besides empowering you to work directly on KPIs that matter to your clients. (Training will be provided for freshers)
Job Responsibility:
Perform pre-call analysis and check the status by calling the payer or using IVR or web portal services
Maintain adequate documentation on the client software to send the 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 inquiries, requests, and complaints through calling to ensure those customer inquiries are resolved at the first point of contact
Provide accurate product/ service information to the 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
Requirements:
Candidate must be fluent in English
Flexibility to work in night shift, according to US office timings and holiday calendars
Fast learner with the ability to talk to people effectively, and adapt well to different situations for meeting operational goals
Basic working knowledge of computers
Degree/diploma in arts or sciences without any current arrears
Nice to have:
Prior experience in an international call center is an advantage, but not compulsory