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Walkin for Voice Process- Healthcare

3 months ago

tamil nadu, India HCLTech Full time
Walkin for Healthcare- Voice Process with Outbound call experience
Work Location: Sholinganallur ELCOT Chennai.
Interview Mode : Face to Face Interview
Time : 11:00 AM till 2 PM
Interview Venue: HCL TECH, Sholinganallur ELCOT campus Chennai-119
HR Person: JOYSRI
Candidates are requested to bring 2 copied of updated resume
Exp: 1 to 5 years
Pref: Immediate joiner
Shift: Rotational Shift/ US Shift
Work Location: Sholinganallur/Navallur
How You’ll Grow
At HCLTech, we offer continuous opportunities for you to find your spark and grow with us. We want you to be happy and satisfied with your role and to really learn what type of work sparks your brilliance the best. Throughout your time with us, we offer transparent communication with senior-level employees, learning and career development programs at every level, and opportunities to experiment in different roles or even pivot industries. We believe that you should be in control of your career with unlimited opportunities to find the role that fits you best.
Role & responsibilities:
* Denial Identification and Analysis: Identify, categorize, and analyze denials and underpayments from Explanation of Benefits (EOBs) and Electronic Remittance Advice (ERAs).
- Claim Resubmission and Appeals: Correct and resubmit denied claims, or prepere and submit appeals following payer guidelines and timelines.
* Payer Communication: Communicate with insurance companies to resolve issues leading to denials and ensure accurate reimbursement.
* Preventative Action: Review denial trends and work with other
RCM teams to implement processes that can prevent future denials.
* Experience in analyzing and resubmitting Denials in multiple specialties (Denia s due to Medical Coding, Authorisation, etc).
Preferred candidate profile
* 1-6 years of prior experience in denials management, healthcare billing, or a related role.
* Strong understanding of medical billing processes payer requirements and CARC/RARC codes,
• Excellent problem-solving and negotiation skills.
• Detail-oriented with strong analytical skills.
- Excellent communication skills, both written and verbal.
- Proficiency in using healthcare billing software and Microsoft
Office Suite.