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Role Description Overview:
The User is accountable to manage day to day activities of Denials Processing/ Claims follow-up/ Customer Service
Responsibility Areas:
- Should handle US Healthcare providers/ Physicians/ Hospital's Accounts Receivable.
- To work closely with the team leader.
- Ensure that the deliverables to the client adhere to the quality standards.
- Responsible for working on Denials, Rejections, LOA's to accounts, making required corrections to claims.
- Calling the insurance carrier & Document the actions taken in claims billing summary notes.
- To review emails for any updates
- Identify issues and escalate the same to the immediate supervisor
- Update Production logs
- Strict adherence to the company policies and procedures.
- Sound knowledge in Healthcare concept.
- Should have 6 months to 3 Yrs of AR calling Experience.
- Excellent Knowledge on Denial management.
- Understand the client requirements and specifications of the project
- Should be proficient in calling the insurance companies.
- Ensure targeted collections are met on a daily / monthly basis
- Meet the productivity targets of clients within the stipulated time.
- Ensure accurate and timely follow up on pending claims wherein required.
Prepare and Maintain status reports
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