Ar excecutive US Healthcare

2 weeks ago


Pune, Maharashtra, India SPRY PT Full time ₹ 9,00,000 - ₹ 12,00,000 per year

Responsibilities

Claim Resolution: Follow up on outstanding medical claims with insurance companies and patients.

Payment Collection: Ensure timely payment collection for services rendered.

Denial Management: Identify and resolve issues with denied claims by identifying errors and appealing them.

Record Keeping: Maintain accurate and up-to-date records of all communications and actions taken.

Payment Analysis: Review and analyze remittance advice to confirm accurate reimbursement.

Internal Collaboration: Work with other departments to resolve billing and coding discrepancies.

Customer Service: Address inquiries and concerns from patients and insurance providers.

Regulatory Compliance: Stay informed about changes in insurance regulations and industry trends.

Required Qualifications and Skills

Education: Typically requires a high school diploma or equivalent; vocational training in medical billing or coding is advantageous.

Experience: Prior experience in medical billing, collections, or customer service is often preferred.

Healthcare Knowledge: Familiarity with US healthcare insurance processes, claim denials, and common medical codes.

Technical Skills: Proficiency in using medical billing software and healthcare information systems.

Communication: Excellent verbal and written communication skills to interact effectively with payers and patients.



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