Medical Billing Customer Service Representative

1 week ago

Andheri West Mumbai Maharashtra, India UJustCreate Services Pvt Ltd Full time

At UJustCreate, we believe in, and strive for, holistic development of the self. This means we create and provide the appropriate environment for our staff to excel in their work profiles while ensuring their all-round personal development. We empower our staff to contribute to the best of their ability and make a positive difference in any endeavour assigned to them.
- **Job Summary**

The client is from US Healthcare domain and provides new/existing patients with the best possible patient experience in relation to their prescriptions, clinical services, billing inquiries, feedback and suggestions. As the first line of contact to patients and stakeholders, the customer service representative will set the tone for how the client's services are experienced.

**Responsibilities**:

- Receives inbound calls and performs outbound calls to patients or physician's offices regarding orders for medications, pharmacy services and any other non-clinical inquiries.
- Adds or updates insurance and pharma information in patient's record, or collect insurance information and alert appropriate teams to update the patient's account.
- Creates patient activities as a reminder for the following tasks including but not limited to follow-up calls for patients, to initiate discharge of services, to contact a patient's doctor office, to mail a letter to a patient.
- Connects patients with doctors/pharmacists for counseling and clinical inquiries as required.
- Escalates calls to clinicians, insurance verification teams, specialized teams as required.
- Adding appointments, cancellation, rescheduling, on given schedules of Doctor Visit in the facility.
- Report accurate information to the insurance company so the patient can be billed for the correct amount
- Getting the remaining bill drawn up and sent to the patient
- Verify coverage and eligibility for medical services
- Communicate with insurance providers and patients
- Review patient bills and correct any missing or inaccurate information
- Use a billing software to prepare and transmit claims
- Clear up balance discrepancies
- Investigate and appeal claims that were denied
- Process denial management for claims rejected by the Insurance companies
- Replying to every doubt and provide solutions as per the regulations and terms very professionally.
- Each and every conversation on call should be only in English language.
- Integrity to follow HIPAA guidelines

**Additional Details**:
, Permanent

**Benefits**:

- Work from home

Schedule:

- US shift ( 5:30 pm - 2:30 am IST (approx., may vary depending on client work timings))

**Experience**:

- Minimum of 2 years of CSR and Billing experience

**Language**:

- English (required)

**Location**:

- Mumbai, Maharashtra (required)

Shift availability:

- Night Shift (required)

Expected Start Date: Immediate

**Job Types**: Full-time, Permanent

Pay: ₹20,000.00 - ₹37,000.00 per month

**Benefits**:

- Work from home

Application Question(s):

- Are you located in Mumbai ?
- Do you have CSR & Medical Billing experience in US Healthcare ?

Work Location: In person

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