About the job
What You Will Do
- Initiate calls requesting status of claims in queue.
- Contact insurance companies for further explanation of denials and underpayments
- Take appropriate action on claims to guarantee resolution.
- Ensure accurate and timely follow up where required.
- Document actions taken in claims billing summary notes
- To prioritize the pending claims for calling from the aging basket
- To make a physical call by following the international norms and applicable rules for confidentiality and HIPAA compliance.
- Responsible for working on Denials, Rejections, LOA’s to accounts, making required corrections to claims.
- Shall understand and abide by the organizations’ information security policy and protect the confidentiality, integrity and availability of all information assets.
- Shall report incidents related to security of information to concerned authorities.
What You Will Need
- Must be a graduate
- Good voice and demonstrate professional demeanour via phone.
- Must have 1 + yrs of experience in US Healthcare stream in AR
- Good organizational skills demonstrating the ability to execute timely follow-up.
- Ability to multi-task.
- Excellent analytical skills with understanding of health care claims processing.
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