Client Partner

3 weeks ago

Mumbai, Maharashtra, India Access Healthcare Full time
Job Description

This role is for an Accounts Receivable (AR) Caller who will serve as a Client Partner, primarily responsible for the crucial task of managing and resolving outstanding claims for US healthcare customers through direct communication. The ideal candidate will possess strong verbal communication skills, a keen eye for detail, and a commitment to ensuring timely and accurate revenue recovery.

Responsibilities

- Perform pre-call analysis and verify claim status by directly calling the payer or utilizing IVR/web portal services.
- Maintain meticulous documentation on client software, ensuring a clear audit trail for future reference and facilitating the submission of necessary documentation to insurance companies.
- Accurately record after-call actions and conduct post-call analysis to ensure effective claim follow-up.
- Assess and resolve inquiries, requests, and complaints through calling, striving for first-point resolution for all customer inquiries.
- Provide accurate product/service information by thoroughly researching available documentation, including authorization details, nursing notes, medical documentation on client systems, and interpreting Explanation of Benefits (EOBs) prior to making calls.
- Conduct analysis of accounts receivable (A/R) data to identify reasons for underpayment, track days in A/R, and determine top denial reasons, using appropriate codes for documentation.

Skills

- Fluent verbal communication abilities and strong call center expertise.
- Knowledge of denials management and A/R fundamentals is preferred.
- Basic working knowledge of computers.
- Ability to research and interpret complex medical and financial documentation.
- Knowledge of Healthcare terminology and ICD/CPT codes is considered a plus.

Qualifications

- Relevant experience in accounts receivable follow-up / denial management for US healthcare customers.
- Willingness to work continuously in night shifts.
- Prior experience in a medical billing company and using medical billing software will be an advantage. Training on client-specific medical billing software will be provided.

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