Job Description

Experienced

Chennai

Posted 1 min ago
Skills Required:

• Good written and verbal communication skill
• Good knowledge in billing process
• Should have working knowledge in more than 2 billing software
• Capable of Trend analysis and strategy planning on revenue improvement
• Basic knowledge on CPT and ICD-10 codes and Insurance filling limits

Location: Chennai, India Designation: AR/Sr AR caller Years of Experience: 1 \xe2\x80\x93 3 Years RESPONSIBILITIES & DUTIES:

• Perform pre-call analysis and check status by calling the payer or using IVR or web portal services
• Prioritize unpaid claims for calling according to the length of time it has been outstanding
• Call Insurance companies on behalf of physicians and carryout further examination on outstanding Accounts Receivables
• Call insurance companies and check on the status of claims
• If the claim has already been paid, ask the insurance company for Explanation of Benefits (EOB)
• Make recommendation to the claim based on inputs from the insurance company
• Maintain adequate documentation on the client software to send 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 any denied claims through calling. Should ensure that claim is updated with adequate information and resolved at first point of contact
• 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
• Excellent communication and listening skills with good command over the English language.
• Strong multitasking, time management, and target achieving skills.
• Customer oriented attitude with professionalism

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

• 1-3 Years of experience in accounts receivable follow-up / denial management for US healthcare customers
• Fluent verbal communication abilities / call center expertise
• Knowledge on Denials management and A/R fundamentals will be preferred
• Willingness to work continuously in night shifts
• Basic working knowledge of computers.
• Prior experience of working in a medical billing company and use of medical billing software will be considered an advantage. We will provide training on the client\xe2\x80\x99s medical billing software as part of the training.
• Knowledge of Healthcare terminology and ICD/CPT codes will be considered a plus

About the Company: Solvedge is a company building cutting edge software products for the healthcare industry. Reimagining healthcare delivery for our clients across the globe, our history of simplifying healthcare goes way back to 2004. Today, SolvEdge is trusted by a broad spectrum of clients including 450+ Hospitals, 3500+ Physician Practices and millions of Patients \xe2\x80\x93 by solving their most complex challenges and helping them deliver consistent, cohesive and collaborative care. SolvEdge is headquartered in Chicago, U.S with its R&D and delivery centers in Chennai, India.

Job Features

Job Category
(RCM) Revenue Cycle Management