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 using various communication channels, including phone calls and written correspondence.
Investigate and address claim denials promptly, determining the reasons for denials and taking corrective actions to reprocess or appeal denied claims.
Communicate effectively with insurance representatives to resolve claim issues and obtain necessary 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, providing clear and accurate information.
Follow the organization's policies, procedures, and compliance standards to ensure adherence to healthcare regulations.
Stay informed about changes in healthcare regulations that may impact billing practices and AR processes.
Required Skills and Qualifications:
Any graduate with a focus on healthcare administration or related fields preferred.
Prior experience in medical billing or AR processes is highly desirable; calling experience would be an added advantage.
Fluent verbal communication abilities to effectively interact with clients, insurance representatives, and team members.
Willingness to work in night shifts (US shift) to accommodate client needs.
Good understanding of the overall Revenue Cycle Management to effectively work on AR processes.
Strong analytical and problem-solving skills, with attention to detail to ensure accuracy in claims processing.
Ability to work independently and manage multiple priorities in a fast-paced environment.