Job Description

Role & responsibilities Claims Management : Follow up on outstanding claims to reduce the accounts receivable (AR) days and resolve claim issues in a timely manner. Denial Management : Handle denials by understanding the root cause, correcting errors, and re-submitting claims for processing. Communication : Effectively communicate with insurance companies, healthcare providers, and other stakeholders regarding claims status, denials, appeals, and payment discrepancies. Account Follow-up : Monitor and review AR aging reports to identify and prioritize unpaid claims for follow-up. Documentation : Maintain accurate records of communications, actions taken, and status updates on patient accounts using company software systems. Compliance : Ensure adherence to HIPAA guidelines and US healthcare regulations during all interactions and processes. Reporting : Prepare and submit daily/weekly/monthly reports to management on claims status, denials, and collections achieved. Interview mode: Virtual Looking for Immediate Joiner. Perks and benefits : Both Side Cabs Gratuity Mediclaim PF 5 Days Working Note: This is Work from Office Job, Office Location will be SEZ Noida Kindly share resume on shankar.rawat@rsystems.com or ping at 8448771131 for more details.