Healthcare Billing Specialist

3 weeks ago

Chennai, Tamil Nadu, India Thryve Digital Health LLP Full time
About Thryve Digital Health LLP

Thryve Digital Health LLP is a pioneering global healthcare partner that delivers strategic innovation, expertise, and flexibility to its healthcare partners. As a US healthcare conglomerate captive, we have direct access to deeper insights that enable us to accelerate our learning process and stay ahead of the curve.

We deliver next-generation solutions that empower 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, engaging and assisting 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.

About the Job

This role requires a resource who can provide timely delivery of assigned tasks, with a strong knowledge in denial management, trend analysis, and experience in reviewing documents and EOBs. The ideal candidate should be an expert in identifying end actions to perform and have a proven job knowledge in Hospital Billing.

This job offers an opportunity to work in a challenging environment, delivering high-quality solutions to meet the demands of our Global Customer. An ideal candidate should have experience in Hospital Billing and Denial Management, with excellent team-playing and problem-solving skills.

Job Responsibilities
  • Responsible for calling Insurance companies (in US) on behalf of doctors/physicians and following 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 physical calls by following 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 accounts.
  • Meeting daily/weekly and monthly targets set for an individual.
Requirements
  • 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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