0 - 1 years

2 - 4 Lacs

Posted:1 week ago| Platform: Foundit logo

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Work Mode

On-site

Job Type

Full Time

Job Description

Key Responsibilities:

  • Review and analyze unpaid/denied claims and initiate appropriate follow-up.
  • Make outbound calls to US insurance companies (payers) to resolve claims.
  • Understand and interpret

    Explanation of Benefits (EOBs)

    and

    Claim Adjustment Reason Codes (CARCs)

    .
  • Work on

    claim re-submissions

    ,

    appeals

    , and

    denial resolutions

    .
  • Update the billing system with clear and accurate documentation of actions taken.
  • Meet daily, weekly, and monthly productivity targets (e.g., call volume, aging resolution).
  • Ensure compliance with

    HIPAA

    and company policies.

Required Qualifications:

Education:

Experience:

  • Freshers:

    With excellent communication skills and interest in US healthcare.
  • Experienced:

    13 years in AR Calling / Medical Billing / Denial Management.

Skills:

  • Excellent verbal communication in English.
  • Basic understanding of the US healthcare RCM process.
  • Knowledge of

    insurance types (Medicare, Medicaid, Commercial)

    .
  • Familiarity with denial codes and resolution techniques.
  • Proficient in MS Excel and billing software (e.g., NextGen, Kareo, Athena, eClinicalWorks).

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