We are seeking a dynamic professional with excellent experience in the USA Healthcare Account Receivables process.
ROLE & RESPONSIBILITIES:
- Perform AR pre-call analysis and take appropriate action by calling the payer or using IVR or web portal services to resolve the outstanding AR.
- Maintain adequate documentation on the Billing software to send necessary documentation to insurance companies and maintain a clear audit trail for future reference.
- Immediately notifying the important Global issues identified to cut down the impact on the high dollar AR.
- Record after-call actions and perform post call analysis for the claim follow-up.
- 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.
PREFERRED CANDIDATE PROFILE:
- Experience in accounts receivable follow-up / denial management of US healthcare process.
- Fluent verbal communication abilities.
- Should possess excellent Denials management and A/R Knowledge.
- Willingness to work continuously in night shifts.
- 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 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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