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Noida

    Client Partner - Noida, India - Access Healthcare Services

    Access Healthcare Services
    Access Healthcare Services Noida, India

    Found in: Talent IN C2 - 5 days ago

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    Description

    JOB DESCRIPTION

    • Perform pre-call analysis and check the status by calling the payer or using IVR or web portal services
    • Maintain adequate documentation on the client software to send the necessary documentation to insurance companies and maintain a clear audit trail for future reference
    • Record after-call actions and perform post-call analysis for the claim follow-up
    • Assess and resolve inquiries, requests, and complaints through calling to ensure those customer inquiries are resolved at the first point of contact
    • Provide accurate product/ service information to the customer, research available documentation including authorization, nursing notes, medical documentation on client's systems, interpret explanation of benefits received, etc. before making the call
    • 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

    JOB REQUIREMENTS

    • To be considered for this position, applicants need to meet the following qualification criteria:
    • 1-4 Years experience in accounts receivable follow-up/denial management for US healthcare customers
    • Fluent verbal communication abilities/call center expertise
    • Knowledge of Denials management and A/R fundamentals will be preferred
    • Willingness to work continuously in night shifts
    • Basic working knowledge of computers.
    • Prior experience working in a medical billing company and using medical billing software will be considered an advantage. Access Healthcare will provide training on the client's medical billing software as part of the training.
    • Knowledge of Healthcare terminology and ICD/CPT codes will be considered a plus.
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