This list contains only the countries for which job offers have been published in the selected language (e.g., in the French version, only job offers written in French are displayed, and in the English version, only those in English).
Responsible for calling Insurance companies (in US) on behalf of doctors/physicians and follow up on outstanding Accounts Receivable
To prioritize the pending claims for calling from the aging basket
Should be able to convince the claims company (payers) for payment of their outstanding claims.
To check the appropriateness of the insurance information given by the patient if it is inadequate or unclear.
To make a physical call by following the international norms and applicable rules for confidentiality and HIPAA compliance
Escalate difficult collection situations to management in a timely manner.
Review provider claims that have not been paid by insurance companies
Handling patient’s billing queries and updating their account information.
Post cash and write off the contractual adjustments accordingly while working on the accounts.
Meeting daily/weekly and monthly targets set for an individual.
In case the patient does not have sufficient insurance coverage for the medical procedure or if the patient is in any way not eligible for coverage, transfer the outstanding balance to the patient.
In case the claim has already been paid by the insurance company, request insurance company/ TPA to send EOB (Explanation of Benefits) through fax/ mail.
Sound knowledge of U.S. Healthcare Domain (Provider side)
Requirements:
Proficiency in Physician Billing (CMS-1500)
In-depth knowledge of CMS-1500 claim forms & workflows