Medical Coder

1 week ago

Chennai, India Thryve Digital Health LLP Full time
Thryve Digital Health LLP is an emerging global healthcare partner that delivers strategic innovation, expertise, and flexibility to its healthcare partners. Being a US healthcare conglomerate captive, we have direct access to deeper insights that help us accelerate our learning process and keeps us ahead of the curve. Thryve delivers next-generation solutions that enable our healthcare partners to provide positive experiences to their consumers.
Our global collaborative of healthcare, operations, and IT experts creates innovative and sustainable processes for our clients, which keeps the ever-evolving consumers engaged and assists them in managing the future of their healthcare better. We recognize that our people are our strength and the diverse talents they bring to our global workforce are directly linked to our success. Thryve is an equal opportunity employer and places a high value on integrity, diversity, and inclusion in the organization. We do not discriminate based on any protected attribute. For more information about the organization, please visit m
ROLE SUMMARY:
This job takes the resource in providing timely delivery of assigned task and required a strong knowledge in denial management, Trend analysis and should be an expert in reviewing documents and EOB also identifying the end action to perform and a proven job knowledge in Hospital Billing.
JOB SUMMARY:
This job gives an opportunity to work in a challenging environment to deliver high quality Solutions to meet the demands for our Global Customer. An ideal candidate should have experience in Hospital Billing and Denial Management. The candidate should be able to lead & own the Development of any Technical deliverables assigned to him\her & thereby delivering high quality & Innovative solutions for the client. Should be an excellent Team player & have excellent Problem solving & communication skills.
Job Role: AR Caller-Medical Billing/Hospital Billing
Years of Experience : 1-3 Years
Work location : Chennai
Mode of Work : Work from Office (5 days)
Direct Walkin : 20th Dec 2024 (Friday)
Timing : 10:30 AM -1:30 PM
ESSENTIAL RESPONSIBILITIES
Responsible for calling Insurance companies (in US) on behalf of doctors/physicians and follow up on outstanding Accounts Receivable.
To prioritize the pending claims for calling from the aging basket.
Should be able to convince the claims company (payers) for payment of their outstanding claims.
To check the appropriateness of the insurance information given by the patient if it is inadequate or unclear.
To make a physical call by following the international norms and applicable rules for confidentiality and HIPAA compliance.
Escalate difficult collection situations to management in a timely manner.
Review provider claims that have not been paid by insurance companies.
Handling patients billing queries and updating their account information.
Post cash and write off the contractual adjustments accordingly while working on the accounts.
Meeting daily/weekly and monthly targets set for an individual.
EXPERIENCE REQUIRED
1-3 years in Revenue Cycle and Delivery Management
PREFERRED
Experience in Healthcare Revenue Cycle Management process.
Should possess adequate knowledge in Accounts Receivables
Should be willing to work in US Shift.
Strong written and verbal communication skills.
Good computer skills including Microsoft Office suite.
Ability to prioritize and manage work queue.
Ability to work independently as well as in a team environment.
Strong analytical and problem-solving skills.

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