Client Partner

4 months ago

Noida, India Access Healthcare Services Full time
JOB DESCRIPTION

  • Perform pre-call analysis and check the status by calling the payer or using IVR or web portal services

  • Maintain adequate documentation on the client software to send the necessary documentation to insurance companies and maintain a clear audit trail for future reference

  • Record after-call actions and perform post-call analysis for the claim follow-up

  • Assess and resolve inquiries, requests, and complaints through calling to ensure those customer inquiries are resolved at the first point of contact

  • Provide accurate product/ service information to the customer, research available documentation including authorization, nursing notes, medical documentation on client's systems, interpret explanation of benefits received, etc. before making the call

  • Perform analysis of accounts receivable data and understand the reasons for underpayment, days in A/R, top denial reasons, use appropriate codes to be used in documentation of the reasons for denials/underpayments

JOB REQUIREMENTS

  • To be considered for this position, applicants need to meet the following qualification criteria:

  • 1-4 Years experience in accounts receivable follow-up/denial management for US healthcare customers

  • Fluent verbal communication abilities/call center expertise

  • Knowledge of Denials management and A/R fundamentals will be preferred

  • Willingness to work continuously in night shifts

  • Basic working knowledge of computers.

  • Prior experience working in a medical billing company and using medical billing software will be considered an advantage. Access Healthcare will provide training on the client's medical billing software as part of the training.

  • Knowledge of Healthcare terminology and ICD/CPT codes will be considered a plus.

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