Medical Business Associate

1 week ago

Mohali, India Virtual Oplossing Pvt. Ltd. Full time

We are looking for people with excellent spoken English skills, preferably with experience in account receivables, and denial management processes.

**JOB DESCRIPTION**
- Perform pre-call analysis and check status by calling the payer or using IVR or web portal services
- Maintain adequate documentation on the client software to send necessary documentation to insurance companies and maintain a clear audit trail for future reference
- Record after-call actions and perform post call analysis for the claim follow-up
- Assess and resolve enquiries, requests and complaints through calling to ensure that customer enquiries are resolved at first point of contact
- Provide accurate product/ service information to customer, research available documentation including authorization, nursing notes, medical documentation on client's systems, interpret explanation of benefits received etc prior to making the call
- Perform analysis of accounts receivable data and understand the reasons for underpayment, days in A/R, top denial reasons, use appropriate codes to be used in documentation of the reasons for denials / underpayments

JOB REQUIREMENTS
To be considered for this position, applicants need to meet the following qualification criteria:

- 0-2 Years of experience in accounts receivable follow-up / denial management for US healthcare customers
- Fluent verbal communication abilities / call center expertise
- Knowledge on Denials management and A/R fundamentals will be preferred
- Willingness to work continuously in night shifts
- Basic working knowledge of computers.
- Prior experience of working in a medical billing company and use of medical billing software will be considered an advantage. We will provide training on the client's medical billing software as part of the training.
- Knowledge of Healthcare terminology and ICD/CPT codes will be considered a plus
- We are hiring fresh graduates as well as experienced resources

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

**Salary**: ₹15,000.00 - ₹30,000.00 per month

Schedule:

- Monday to Friday
- Night shift

Ability to commute/relocate:

- Mohali, Punjab: Reliably commute or planning to relocate before starting work (required)

**Experience**:

- total work: 1 year (preferred)

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