About Job Role:
● Prepare and submit medical claims to insurance companies accurately and in a
timely manner.
● Ensure that all required documentation, such as medical records and invoices, is
attached to support the claims
● Regularly follow up on unpaid or underpaid claims with insurance companies.
● Use various communication channels, including phone calls and written
correspondence, to resolve outstanding issues.
● Investigate and address claim denials promptly.
● Determine the reasons for denials and take corrective actions to reprocess or appeal
denied claims.
● Communicate effectively with insurance representatives to resolve claim issues and
obtain information.
● Establish and maintain positive relationships with insurance companies to facilitate
smoother claims processing.
● Communicate with patients regarding their account balances, explaining any
insurance-related matters or financial responsibilities.
● Assist patients with questions related to billing and insurance.
● Follow the organisation's policies, procedures, and compliance standards.
● Stay informed about changes in healthcare regulations that may impact billing
practices.
Required Skilled Sets:
● Any graduate
● Prior calling experience would be an added advantage.
● Fluent verbal communication abilities.
● Willing to work in night shift (US shift)
● Good understanding of the overall Revenue Cycle Management to effectively
work on AR.
Compensation:
● As per Industry standards