AR Caller & Denial Management

JB Group of companies

0 years

0 Lacs

Greater Kolkata Area

Posted:2 months ago| Platform:

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Skills Required

management compliance healthcare regulations communication taxonomy consistency reporting analysis data reports portal frequency analyze extract support workflow labeling billing report

Work Mode

On-site

Job Type

Full Time

Job Description

○ Make outbound calls to insurance companies and payors to collect essential information, including claim statuses, denial reasons, and any additional relevant details. ○ Conduct all calls in full compliance with the Client's guidelines and applicable healthcare regulations. ○ Maintain professionalism and ensure clear communication during each call. ○ Accurately record, categorize, and label calls or information gathered using the taxonomy and definitions provided by the client. ○ Ensure all claim statuses and call outcomes are properly labeled for consistency in reporting and easy analysis. ○ Deliver categorized data in periodic reports or through the portal developed by client, following the requested format and frequency. ○ Analyze recorded call transcripts to extract actionable insights, identifying trends, recurring denial reasons, and other patterns. ○ Compile findings into periodic reports, providing valuable information to the Client to support process improvements and optimize workflow Receive payment information if the claims has been processed. Analyze claims in-case of rejections. Ensure deliverables adhere to quality standards. Skills: management,ar caller,data,labeling,communication,accounts receivable,deliverables,case,medical billing,healthcare,compliance with healthcare regulations,clear,data categorization,insurance,claims analysis,outbound calling,report generation,categorization,call transcript analysis,identifying trends Show more Show less

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