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 prior to 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 Experienced candidates need to meet the following qualification criteria to be considered: 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 of working in a medical billing company and the use of 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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