Eligibility Criteria:
- Any graduation
- 1 to 5 years of experience in accounts receivable follow-up/denial management for US healthcare customers
- Willingness to work continuously in night shifts
- Good knowledge in RCM/AR or Prior Auth
- Immediate joiner preferred
- Must have experience in Hospital Billing or Physician BillingKey Responsibilities:
- Perform pre-call analysis and check status by calling the payer or using IVR or web portal services
- Maintain adequate documentation on 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 claim follow-up
- Provide accurate product/service information to customers, research available documentation including authorization, nursing notes, and medical documentation on client's systems, interpret explanation of benefits received prior to making the call
- Analyze accounts receivable data and understand reasons for underpayment, days in A/R, top denial reasons, and use appropriate codes for documentation of denials/underpayments
- Prepare, review, and transmit claims using AR software, including electronic and paper claim processing
- Review patient bills for accuracy and completeness and obtain any missing informationPerks and Benefits:
- Salary: Industry Standards
- Two-side cab and dinner allowance provided. Interested candidates can ping their CV at pi******a@co********h.com, 8368378***

Keyskills: hospital billing AR Calling physician billing Denial Management RCM Healthcare Operations Healthcare Management Healthcare Good Comm Skills Hospital Management US Healthcare