Rcm - Ar Calling: Medical Billing

From 0 to 4 year(s) of experience - ₹ 1,75,000 - 4,00,000 P.A. - Mumbai*** Roles and Responsibilities One our Mumbai based Healthcare client (Andheri) has **Urgent Requirement of "RCM - AR Calling: Medical Billing” those who are ready to work at Andheri - Mumbai Office & as per US Shift Timings (Transportation will be provided)** **Exp: 6 months to 4 years** **Total Vacancies : 50+** **Working : As Per Shift Timing (Day; Evening & Night)** **Location : Work from Andheri Office** **Transportation : Provided by the Company up to Fixed B**oundaries.** **Salary : Based on exp.** **PREFERRED : IMMEDIATE JOINEES** **Position : RCM - AR Calling: Medical Billing** **AR Calling - RCM** - Responsible for **calling Insurance companies** **(in US)** on behalf of doctors/physicians and follow up on outstanding Accounts Receivable - To prioritize the pending/overdue tasks for calling/working from the aging basket. - Should be able to convince the **claims company (payers)** for reprocessing the claims for payment of their outstanding claims. - To check the appropriateness of the demographic/insurance information given by the patient if it is inadequate or unclear. - To make a physical call by following the international norms and applicable rules for confidentiality and HIPAA compliance. - Escalate difficult collection situations to the team’s supervisors in a timely manner. - Review provider claims that have not been paid by insurance companies or denied by the insurance companies. - Handling patients billing queries and updating their account information. - Working on denied claims by taking the appropriate action - Routing denials to the correct department in case of fix the hole opportunities - Escalate all avoidable denials to the team’s supervisors where there is a direct revenue loss for the practice and the company - Sharing new findings with the team’s supervisors and the team - Post cash and write off the contractual adjustments accordingly while working on the accounts. - Meeting daily/weekly and monthly targets set for an individual. **Desired Profile**: - Should be willing to work in US Shift. - Experience in **Denial Management (Healthcare Revenue Cycle Management) process**. - 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. - Should be a result oriented person and works towards solving the issues instead of dragging the issues. - Strong analytical and problem-solving skills. - Good typing skills with a speed of min 30-35 words /min. Full Name: Contact No: Education: **# Present Dept. / Designation**: **# Total Nos. of years of Exp. in RCM**: **# Yrs. of Exp. in AR Calling**: **# Yrs. of Exp. in Medical Billing**: **# Do you have Exp. in Denial Management : YES/NO** **# Your Complete Residence Address of Mumbai**: **# Are You Ready to work in Shifts as assigned?: YES /NO** Preferred Shift Timings (If Any): Ready to Relocate to Mumbai: Previous / Current Company's name: Current Salary: Notice Period: Reason for leaving current/previous job: Availability for Joining with Start Date/Month: - Role: - Back Office Operations- Salary: - 1,75,000 - 4,00,000 P.A.- Industry: - Medical Services / Hospital- Functional Area: - Customer Success, Service & Operations- Role Category: - Back Office- Employment Type: - Full Time, Permanent- Key SkillsAR Calling Revenue cycle management Medical Billing Insurance Claims Healthcare Insurance companies Denial Management RCM Skills highlighted with ‘‘ are preferred keyskills - Education- UG: - Any Graduate