0 - 4 years

3 - 6 Lacs

Posted:5 days ago| Platform: Foundit logo

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Work Mode

On-site

Job Type

Full Time

Job Description

Key Responsibilities:

  • Call insurance companies (outbound calls) to follow up on pending or denied claims.
  • Analyze and understand

    EOBs (Explanation of Benefits)

    and

    denial codes

    .
  • Take appropriate actions such as appeals, re-submissions, or escalations.
  • Meet daily/weekly productivity targets and quality benchmarks (accuracy ?95%).
  • Update internal billing systems with clear and concise notes on claim status.
  • Follow HIPAA guidelines and client-specific protocols during interactions.
  • Coordinate with the team and supervisors for escalations or complex cases.

Eligibility Criteria:

  • Education:

    Any graduate (Life Sciences or Healthcare background preferred).
  • Experience:

  • Freshers

    with excellent communication skills are welcome.
  • Experienced

    candidates (13 years) in AR Calling / Denial Management preferred.
  • Communication Skills:

    Excellent spoken English with a neutral or US accent.
  • Technical Skills:

    Basic knowledge of MS Excel, medical billing software (e.g., Kareo, Athena, NextGen), and EMR/EHR systems.

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