Ar Caller - Mumbai, Maharashtra, India - Tranzitopz Consultancy Solutions Private Limited

Tranzitopz Consultancy Solutions Private Limited
Tranzitopz Consultancy Solutions Private Limited
Verified Company
Mumbai, Maharashtra, India

2 weeks ago

Deepika Kaur

Posted by:

Deepika Kaur

beBee Recuiter
Description
,

Position:
Insurance Follow Up - 2 (ISP-2)

Shift:
US Shift (05:30 PM to 03:00 AM)

Job Function

  • Checking denials from EOBs, ERAs by calling the Insurance Companies.
  • Calling the insurance companies for the specification of denials.
  • Reprocessing the claim over the phone or reopening the claims on the online portals
  • Filing an appeal to the insurance companies with the required information
  • Checking status of the appeal filed and reprocessed claims through IVR, Calls and online payer's portal
  • Refilling corrected claims with coding/demographic/authorization/referral corrections.
  • Disputing with the insurance companies on incorrect denials.
  • Working on FTH (Fix The Hole) to prevent future denials
  • Tasking to the clients and other teams for required information
  • Preparing Trending Analysis on the denials and escalating to Supervisors
  • Finding updates from payers via call or online for billing related information and sharing with the concern team/department to prevent denials.
  • Responsible for updating any internal databases, electronically storing and organizing patients' records, billing details, and registration forms.

Education:
+2 or Graduate in any stream

Training/Work experience:
Billing & collections training and/or 1 year of industry experience in the relevant function

Other specifications

Good English communication (reading, writing, listening, speaking)

Understanding of US healthcare, HIPAA

Good at Operating Computer - software and MS office

Capable of task execution based on work instructions

  • Checking denials from EOBs, ERAs by calling the Insurance Companies.
  • Calling the insurance companies for the specification of denials.
  • Reprocessing the claim over the phone or reopening the claims on the online portals
  • Filing an appeal to the insurance companies with the required information
  • Checking status of the appeal filed and reprocessed claims through IVR, Calls, and online payer's portal
  • Refilling corrected claims with coding/demographic/authorization/referral corrections.
  • Disputing with the insurance companies on incorrect denials.
  • Working on FTH (Fix The Hole) to prevent future denials
  • Tasking to the clients and other teams for required information
  • Preparing Trending Analysis on the denials and escalating to Supervisors
  • Finding updates from payers via call or online for billing related information and sharing with the concern team/department to prevent denials.
  • Responsible for updating any internal databases, electronically storing and organizing patients' records, billing details, and registration forms.

Job Types:
Full-time, Permanent


Salary:
₹30, ₹60,000.00 per month


Benefits:


  • Provident Fund

Schedule:

  • Monday to Friday
  • US shift

Experience:


  • AR Calling: 2 years (required)
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