BPO Customer Service Representative

3 weeks ago


Mysore, Karnataka, India Smart Pro Full time
Job Role: AR Denial Specialist for US Healthcare Claims

At Smart Pro, we're seeking a highly skilled AR Denial Specialist to join our team. As an AR Denial Specialist, you will be responsible for contacting insurance companies in the US on behalf of our clients to follow up on outstanding claims.

Key Responsibilities:

  • Denial Management: Strong analytical skills are required to manage AR denials and provide qualitative support in charges.
  • Claim Prioritization: The ability to prioritize pending claims from the aging basket is essential.
  • Communication: Convincing insurance companies (payers) to pay outstanding clients' claims.
  • Quality Standards: Ensuring deliverables to clients adhere to quality standards.
  • Denial Management Experience: Good experience in denial management, appeals, and referral processes.
  • Pre-Calling Analysis: Strong skills in pre-calling analysis.
  • RCM Knowledge: Basic knowledge of the entire revenue cycle management (RCM) of US Healthcare domain.

Requirements:

  • Multi-tasking: Ability to multi-task.
  • Organization: Good organization skills, demonstrating the ability to execute timely follow-up.
  • Teamwork: Willingness to be a team player and show initiative where needed.
  • Shift Work: Ready to work in night shifts.

About Smart Pro:

Smart Pro is a dynamic company dedicated to delivering high-quality services.



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