Account Receivable Caller (US Healthcare)

Quantazone is a leading consulting and professional services organization. We are the trusted partner to enterprises and organizations worldwide, delivering technology-enabled solutions for extraordinary outcomes in quality and cost

• Review the provider's claims that the insurance companies have not paid.

• Follow-up with Insurance companies to understand the claim's status - Initiate telephone calls or verify through payer websites or otherwise request the required information from insurance companies.

• Contact insurance companies for further explanation of denials and underpayments and where needed, prepare appeal packets for submission to payers.

• Based on the responses/ findings, make the necessary corrections to the claim, and re-submit/ refile as the case may be

• Document actions taken into the claims billing system.

• Meet the established performance standards daily.

• Improve skills in CPT codes and DX Codes. Make collections with a convincing approach.

• Good understanding of the US Healthcare revenue cycle and its intricacies

Shift Timing: Night shift (US Shift) (5.30 PM – 2.30 AM IST)

Shift Days: Monday - Friday

Salary: Upto 28K CTC {Including Night Shift Allowance}

• Any Graduate can apply
• Minimum 1 year experience in the related field

• Good communication skills and a fair command of the English language
• Experienced in AR Follow-up and Denials Management
• Excellent analytical and comprehension skills