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Position Insurance Follow Up - 2 (ISP-2)
Shift US Shift (05:30 PM to 03:00 AM)
Job function· Checking denials from EOBs, ERAs by calling the Insurance Companies. · Calling the insurance companies for the specification of denials. · Reprocessing the claim over the phone or reopening the claims on the online portals · Filing an appeal to the insurance companies with the required information · Checking status of the appeal filed and reprocessed claims through IVR, Calls and online payer’s portal · Refilling corrected claims with coding/demographic/authorization/referral corrections. · Disputing with the insurance companies on incorrect denials. · Working on FTH (Fix The Hole) to prevent future denials · Tasking to the clients and other teams for required information · Preparing Trending Analysis on the denials and escalating to Supervisors · Finding updates from payers via call or online for billing related information and sharing with the concern team/department to prevent denials. · Responsible for updating any internal databases, electronically storing and organizing patients' records, billing details, and registration forms.
Education +2 or Graduate in any stream
Training/Work
experience Billing & collections training and/or 1 year of industry experience in the relevant function
Other specifications Good English communication (reading, writing, listening, speaking) Understanding of US healthcare, HIPAA Good at Operating Computer - software and MS office
Capable of task execution based on work instructio
Designation: - Account Receivables(AR)
Job Timing: - Night Shift
Work Mode:- Work From Office
Work Location:- Iscon Cross Road, Sg Highway
Job Type: Full-time
Responsibilities
• Possess good understanding of the Revenue Cycle Management(US Medical Billing) for Providers.
• Managing denials and rejection
• Verifying eligibility and benefits.
• Possess good knowledge of HIPPA, CPT codes, ICD9/10, Appeals, denial management.
• Follow up with Insurance companies in the US for denied/unpaid claims.
• Review the Claim status & update
• Communicate effectively, via phone and email
• Evaluation of clinical documentation.
As a Client Partner for account receivables, you will be responsible for making calls to insurance companies to follow-up on pending claims. We are looking for people with excellent spoken English skills, preferably with experience in account receivables, and denial management processes.
Skills and Responsibilities
• Excellent in English Communication (Verbal and written).
Eligibility of Candidates
• Immediate joining
• Excellent in English Communication (Verbal and written).
• Comfortable to work in the night shift.
• Experienced candidates are welcome.
Benefits
• Friendly environment.
• Fixed shift.
• 5 days working
• Education:- Under Graduate / Any Graduate (BSc. Prefer)
• Working days:- 05
• Working Hours:- 9.5
• Shift timings:- 5:30pm to 3:00am IST
• Location:- Sattadhar Area or Prahladnagar Area
Job Description:-
• Mini 6months to 5yrs of experience in the accounts receivable process of medical billing.
• Required to call US insurance companies and follow up on outstanding claims.
• An ideal candidate would have excellent communication and analytical skills.
• Good communication skills are essential.
• Coordinate with the doctors office via mail/call.
• Coordinate with Patient via mail/call.
• Follow the Patient Care Plan
• Training will be provided
• Microsoft Office and Excel knowledge
Basic Requirements:-
• Excellent Spoken and written English skills is must
• Candidate should be able to join Immediately/Post Notice Period
• US Voice Process - Healthcare
Interview Process:-
(Whole process takes 3hrs)
• Initial screening- Aptitude Test, IQ test and Essay writing (1.5 Hrs)
• HR Round
• Operations Round.
1. Read and understand prescriptions provided by Doctors to Patients.
2. Understanding the varied range of medicines.
3. Completes pharmacy operational requirements by organizing and directing technicians workflow; verifying their preparation and labeling.
4. Cross-check the issuing medicines with the bill with regard to patient name, item name, quantity, expiry and acknowledge the bill Customer Service.
5. Handle cash in billing counter as and when required.
6.To prepare bills in computer and collect the cash Cold Chain Management
7. It should be flexible and multi-tasking.
Note:
Only female candidates required.
Qualification:
Bpharma and Mpharma
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