- Review and analyze denied claims to determine the reasons for denial.
- Follow up with insurance companies for claim status and appeal denied claims as necessary.
- Maintain accurate records of denial trends and resolutions for reporting purposes.
- Communicate effectively with healthcare providers to gather necessary information for claims.
- Ensure compliance with all relevant regulations and guidelines during the denial management process.
- 1-5 years of experience in denial management or accounts receivable (AR) calling in the healthcare industry.
- Strong understanding of medical billing and coding processes.
- Proficient in using healthcare billing software and Electronic Health Records (EHR) systems.
- Excellent communication and negotiation skills to effectively resolve claims issues.
- Detail-oriented with strong analytical and problem-solving abilities.
- Ability to work independently as well as part of a team in a fast-paced environment.
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Ar Caller - Chennai - Source To Win Consultancy
Description
Description
We are seeking an experienced AR Caller (Denial Management) to join our team in India. The ideal candidate will be responsible for managing and resolving denied claims, ensuring timely follow-up with insurance companies and healthcare providers to facilitate the claims process.
Responsibilities
Skills and Qualifications
with regards,
shalini R
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