Performing outbound calls to insurance companies (in the US) to collect outstanding Accounts Receivables. SME in Denial Management Should identfy and work on AR automation to simply the process and ensure it provide quality results Provide trend analysis of issues with their appropriate solutions to the respective supervisor. Review remittance and action the claim for solution towards payment. Respond to customer requests by phone and/or in writing to ensure timely resolution of unpaid and denied claims. Adhere to SOP guidelines within established productivity standards. Report changes identified on payer adjudication guidelines. Knowledge on appeals management. Attending meetings and in-service training to enhance Accounts Receivable knowledge, compliance skills, and maintenance of credentials. Ensure complete adherence to TAT and SLA’s as defined by the customer Maintaining patient confidentiality.

Required Skills for this role include:

 

5+ years of experience working on Revenue Cycle Management regarding medical billing. Expertise on Revenue cycle management and End to End resolution guidelines. Expertise with Windows PC applications that required you to use a keyboard, MS office, navigate screens, and learn new software tools. Ability to work regularly from office scheduled shifts from Monday-Friday 5:30 pm to 3:30 pm IST.