Urgent Opening

17 hours ago


Kolkata, West Bengal, India Value Rcm Solutions Full time ₹ 5,00,000 - ₹ 10,00,000 per year

Role & responsibilities

  • Responsible for calling Insurance companies (in US) on behalf of doctors/physicians for Claim Status, Eligibility verification and follow-up on outstanding Accounts Receivable.
  • Responsible for timely and appropriate follow-up actions against outstanding Accounts Receivable based on denial reasons.
  • To identify and resolve medical claims billing and reimbursement issues and aimed at maximizing collections and minimizing accounts receivables.
  • Responsible for denial trend analysis, Payer reimbursement guidelines and resolving bulk issues or escalate to management for further review.
  • Handling EDI rejections

Preferred candidate profile

  • Excellent Communication skills
  • Should be willing to work in US Shift (Night Shift).
  • Good computer skills including Microsoft Office.
  • Excellent analytical skills
  • Should be well versed with rules and regulations of US Healthcare.


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