Test - Voice Process - Chennai, Tamil Nadu, , India

Job Description · <\/h3> · Roles and Responsibilities:<\/u><\/b><\/span><\/span><\/span><\/span> · <\/div>Perform pre -call analysis and check status by calling the payer or using IVR or web portal services.<\/span><\/span><\/span><\/span><\/span><\/span> · <\/li> · Maintain adeq ...

Job description

Job Description
<\/h3> Roles and Responsibilities:<\/u><\/b><\/span><\/span><\/span><\/span>
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• Perform pre -call analysis and check status by calling the payer or using IVR or web portal services.<\/span><\/span><\/span><\/span><\/span><\/span>
  <\/li>
• Maintain adequate documentation on the client software to send necessary documentation to insurance companies and maintain a clear audit trail for future reference.<\/span><\/span><\/span><\/span>
  <\/li>
• Record after -call actions and perform post call analysis for the claim follow -up.<\/span><\/span><\/span><\/span>
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• Assess and resolve enquiries, requests and complaints through calling to ensure that customer enquiries are resolved at first point of contact.<\/span><\/span><\/span><\/span>
  <\/li>
• Provide accurate product/ service information to customer, research available documentation including authorization, nursing notes, medical documentation on client's systems, interpret explanation of benefits received etc prior to making the call.<\/span><\/span><\/span><\/span>
  <\/li>
• Perform analysis of accounts receivable data and understand the reasons for underpayment, days in A/R, top denial reasons, use appropriate codes to be used in documentation of the reasons for denials / underpayments.<\/span><\/span><\/span><\/span>
  <\/li>
• Ensuring the daily assigned accounts are resolved/ worked on.<\/span><\/span><\/span><\/span>
  <\/li>
• Escalate difficult collection situations to Team Leaders situations and seek education and instruction.<\/span><\/span><\/span><\/span>
  <\/li><\/ul><\/span><\/div>
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