RCM Executive

1 week ago

Bengaluru, Karnataka, India RED ROAD HEALTHCARE BUSINESS SOLUTIONS Full time ₹ 3,00,000 - ₹ 6,00,000 per year

JOB OVERVIEW

Job responsibilities include:

  • Analyze claims which are unpaid and takes end to end action based on the denial received.
  • Call insurance and check for the reason why the claim was denied/rejected and make changes necessarily.
  • Generates reports to distinguish the collectable and non-collectables.
  • Checks status for the claims which have been recently submitted.
  • Documents notes based on the conversation with the insurance rep and updated provider office if any new issues are found.
  • Need to appeal the claim in portal (or) through call so the claim could get paid.
  • Need to have strong knowledge how an RCM works.

JOB DESCRIPTION

  • The primary task is to call insurance to check the status of the claims, especially on the ones which denied has to be taken action.
  • The secondary task is to make the insurance to pay for the claim.
  • Must be efficient in managing the accuracy and productivity based on the TAT(turn around time) set by the organization.
  • He/She must show the willingness to learn new things.
  • Must be able to work in a team environment.
  • Must discuss every matter with the supervisor or team leader to get any issue sorted.
  • Giving a resolution to each claim assigned should be their whole and sole responsibility, unless escalated/Completed.
  • Must efficiently set goals and work, so to maintain highest level of quality while providing service to the clients.

JOB REQUIREMENTS

  • Any Degree with minimum of 1(or) 2yr of experience in AR calling
  • Should be willing to work in night shift as per the company requirements.
  • Basic Excel knowledge and strong writing and oral communication skills.
  • Preference will be given to healthcare BPO professionals with experience in voice processes, good typing and interpersonal skills, along with a good overall performance track record.
  • Must be willing to take on additional job.
  • Dinner Provided By Company
  • No cab Facility

  • Insurance Provided by the company

  • Interested candidate can share their resume to below mentioned email Id -

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