Job
Description
As an RCM Customer Service Executive Voice at HCLTech, your role involves collaborating with US healthcare providers to ensure accurate and timely reimbursement. Your strong communication skills, attention to detail, and willingness to work in US shifts will be essential for success. **Key Responsibilities:** - Review and analyze denied claims to identify root causes and trends. - Develop and implement strategies to reduce claim denials and improve reimbursement rates. - Work closely with insurance companies, healthcare providers, and internal teams to resolve denied claims. - Prepare and submit appeals for denied claims, ensuring all necessary documentation is included. - Monitor and track the status of appeals and follow up as needed. - Maintain accurate records of all denial management activities and outcomes. - Provide regular reports on denial trends, appeal success rates, and other key metrics to management. **Qualifications Required:** - Graduation (any stream) - 12 - 24 months of process experience in Denial Management and Provider/DME AR calling. **Additional Details:** You will be expected to possess strong verbal and written communication skills, a neutral accent, and a good adoption to US culture. Your ability to resolve provider queries in the first point of contact, focus on delivering a positive customer experience, and exhibit professionalism, courtesy, friendliness, and empathy will be crucial. Active listening skills, good data entry & typing skills, ability to multitask, and a team player mindset are also desired. You should be capable of contributing to the process through improvement ideas and thrive in a fast-paced, innovative, and constantly changing environment. Joining this role will provide you with perks and benefits including cab service (chargeable), international trainers, world-class exposure, an excellent working environment, competitive salary, and flexibility with night shifts. As an RCM Customer Service Executive Voice at HCLTech, your role involves collaborating with US healthcare providers to ensure accurate and timely reimbursement. Your strong communication skills, attention to detail, and willingness to work in US shifts will be essential for success. **Key Responsibilities:** - Review and analyze denied claims to identify root causes and trends. - Develop and implement strategies to reduce claim denials and improve reimbursement rates. - Work closely with insurance companies, healthcare providers, and internal teams to resolve denied claims. - Prepare and submit appeals for denied claims, ensuring all necessary documentation is included. - Monitor and track the status of appeals and follow up as needed. - Maintain accurate records of all denial management activities and outcomes. - Provide regular reports on denial trends, appeal success rates, and other key metrics to management. **Qualifications Required:** - Graduation (any stream) - 12 - 24 months of process experience in Denial Management and Provider/DME AR calling. **Additional Details:** You will be expected to possess strong verbal and written communication skills, a neutral accent, and a good adoption to US culture. Your ability to resolve provider queries in the first point of contact, focus on delivering a positive customer experience, and exhibit professionalism, courtesy, friendliness, and empathy will be crucial. Active listening skills, good data entry & typing skills, ability to multitask, and a team player mindset are also desired. You should be capable of contributing to the process through improvement ideas and thrive in a fast-paced, innovative, and constantly changing environment. Joining this role will provide you with perks and benefits including cab service (chargeable), international trainers, world-class exposure, an excellent working environment, competitive salary, and flexibility with night shifts.
