
Quality Control Analyst
3 weeks ago
Roles and Responsibilities:
- Should have experience in handling US Healthcare Medical Billing.
- To work closely with the team leader.
- Ensure that the deliverables to the client adhere to the quality standards.
- Responsible for working on denials, prior authorization, eligibility verification, rejections, making required corrections to claims.
- Calling the insurance carrier & documenting the actions taken in claims billing summary notes.
- To review emails for any updates.
- Identify issues and escalate the same to the immediate supervisor.
- Strict adherence to the company policies and procedures.
Desired Candidate Profile:
- Extensive Quality experience Audits, Coaching & training as per process defined.
- Min of 1.5 Yrs of Professional and Relevant Experience
- Sound knowledge in Healthcare concept.
- Should have 3 to 6 years of Account Receivable experience.
- Excellent knowledge of Denial management.
- Excellent knowledge of Physician Billing/Hospital Billing.
- Should be proficient in calling the insurance companies.
- Ensure targeted collections are met on a daily/monthly basis.
- Meet the productivity targets of clients within the stipulated time.
- Ensure accurate and timely follow-up on pending claims when required.
- Prepare and maintain status reports.
Perks and Benefits:
- 5 Days Working
- 2-way cab facility
- Provident Fund
- Gratuity
- GLTI
- Incentives
- Medical Insurance
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