Accounts Receivable

2 weeks ago

Bodakdev Ahmedabad Gujarat, India Integrity Healthcare Solutions Full time

**About Integrity Healthcare Solutions**

Integrity is a premier Knowledge Process Outsourcing (KPO) firm specializing in providing comprehensive outsourcing solutions to health care professionals in the United States.

**Our service offerings include**:

- Revenue Cycle Management (RCM): Streamlining financial processes to enhance cash flow.
- Eligibility Verification: Ensuring patient coverage and benefits.
- Prior Authorizations: Managing the approval process for medical services.

**About Job Role**:

- The Medical Claims Specialist will be responsible for managing the submission and follow-up of medical claims to insurance companies, ensuring accuracy and compliance throughout the process. Key responsibilities include:

- Preparing and Submitting Claims: Accurately prepare and submit medical claims to insurance companies in a timely manner.
- Documentation Management
- Follow-Up on Claims: Regularly follow up on unpaid or underpaid claims with insurance companies to expedite resolution.
- Communication with Insurers: Utilize various communication channels, including phone calls and written correspondence, to address outstanding issues related to claims.
- Investigating Denials: Promptly investigate and address claim denials, determining the reasons for denials and taking corrective actions to reprocess or appeal denied claims.

Required Skilled Sets/ Qualifications:

- A Bachelors degree or equivalent qualification.
- Prior experience of at least 6 months
- 1 year in a calling role (AR) is an advantage.
- Excellent verbal communication skills, with fluency in English.
- Willingness to work night shifts (US shift).
- A solid understanding of the overall Revenue Cycle Management (RCM) process to effectively manage
- Accounts Receivable (AR).

Pay: ₹300,000.00 - ₹700,000.00 per year

**Benefits**:

- Health insurance
- Provident Fund

Schedule:

- Monday to Friday
- Night shift

Work Location: In person

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