Hospital Billing Ar Caller - Navi Mumbai, India - Gosource Digihub Pvt Ltd

Gosource Digihub Pvt Ltd

Verified Company

Navi Mumbai, India

2 weeks ago

Posted by:

Deepika Kaur

beBee Recuiter

Description

Job description

Roles and Responsibilities:

The job involves an analysis of receivables due from healthcare insurance companies and initiation of necessary follow-up actions to get reimbursed.

This will include a combination of voice and non-voice follow-up along with undertaking appropriate denial and appeal management protocol.
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Should have experience UB04 Claims
:

Review patient accounts and perform appropriate follow up actions to resolve the outstanding balance according to best practice standards.
Complete and send appropriate claim forms according to CMS and thirdparty payor guidelines.
Follow up with medical insurance payors regarding the status of outstanding claims.
Contact patients and guarantors regarding outstanding selfpay balances due.
Compose correspondence to insurance payors, third parties, and patients regarding the resolution of outstanding balances and claim appeals.
Document all actions taken in appropriate Infinx or Client host system.
Adhere to HIPAA, patient confidentiality and compliance requirements at all times.
Research payor rules and regulations to maintain current payor knowledge.
Demonstrate service excellence to all patients, clients, and employees of Infinx.

Meet individual and team goals for productivity, quality and results to Clients.

Perks and Benefits: