Ar Caller

1 week ago

Mumbai Maharashtra, India Tranzitopz Consultancy Solutions Private Limited Full time

,

Position: Insurance Follow Up - 2 (ISP-2)

Shift: US Shift (05:30 PM to 03:00 AM)

Job Function
- Checking denials from EOBs, ERAs by calling the Insurance Companies.
- Calling the insurance companies for the specification of denials.
- Reprocessing the claim over the phone or reopening the claims on the online portals
- Filing an appeal to the insurance companies with the required information
- Checking status of the appeal filed and reprocessed claims through IVR, Calls and online payer’s portal
- Refilling corrected claims with coding/demographic/authorization/referral corrections.
- Disputing with the insurance companies on incorrect denials.
- Working on FTH (Fix The Hole) to prevent future denials
- Tasking to the clients and other teams for required information
- Preparing Trending Analysis on the denials and escalating to Supervisors
- Finding updates from payers via call or online for billing related information and sharing with the concern team/department to prevent denials.
- Responsible for updating any internal databases, electronically storing and organizing patients' records, billing details, and registration forms.

Education: +2 or Graduate in any stream

Training/Work experience: Billing & collections training and/or 1 year of industry experience in the relevant function

Other specifications

Good English communication (reading, writing, listening, speaking)

Understanding of US healthcare, HIPAA

Good at Operating Computer - software and MS office

Capable of task execution based on work instructions
- Checking denials from EOBs, ERAs by calling the Insurance Companies.
- Calling the insurance companies for the specification of denials.
- Reprocessing the claim over the phone or reopening the claims on the online portals
- Filing an appeal to the insurance companies with the required information
- Checking status of the appeal filed and reprocessed claims through IVR, Calls, and online payer’s portal
- Refilling corrected claims with coding/demographic/authorization/referral corrections.
- Disputing with the insurance companies on incorrect denials.
- Working on FTH (Fix The Hole) to prevent future denials
- Tasking to the clients and other teams for required information
- Preparing Trending Analysis on the denials and escalating to Supervisors
- Finding updates from payers via call or online for billing related information and sharing with the concern team/department to prevent denials.
- Responsible for updating any internal databases, electronically storing and organizing patients' records, billing details, and registration forms.

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

**Salary**: ₹30,000.00 - ₹60,000.00 per month

**Benefits**:

- Provident Fund

Schedule:

- Monday to Friday
- US shift

**Experience**:

- AR Calling: 2 years (required)

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