2.0 - 7.0 years

0 Lacs

kochi, kerala

On-site

Maintain adequate documentation on the client software to send necessary documentation to insurance companies and maintain a clear audit trail for future reference. Record after-call actions and perform post-call analysis for the claim follow-up. Assess and resolve inquiries, requests, and complaints through calling to ensure that customer inquiries are resolved at the first point of contact. Provide accurate product/service information to the customer, research available documentation including authorization, nursing notes, medical documentation on the client's systems, interpret explanation of benefits received, etc prior to making the call. The ideal candidate should have 2-7 years of exp...

Posted 3 weeks ago

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CSE (Customer Support Executive) Techindia Infoway Pvt Ltd

1.0 - 5.0 years

0 Lacs

chennai, tamil nadu

On-site

The primary responsibility of this role is to maintain proper documentation of client software for submission to insurance companies and create a detailed audit trail for future reference. Additionally, the role involves recording post-call actions, conducting post-call analysis for claim follow-ups, and addressing customer inquiries, requests, and complaints effectively through phone calls to ensure prompt resolution at the first point of contact. It is essential to provide customers with accurate information regarding products/services, conduct thorough research on available documentation such as authorizations, nursing notes, and medical records on client systems, and interpret received e...

Posted 1 month ago

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Urgently Required Ar/ EVBV/ Pre Auth Associates RevUpside Business Solutions Private Limited

2.0 - 4.0 years

0 Lacs

Navi Mumbai, Maharashtra, India

On-site

Key Responsibilities: Review account thoroughly, including any prior comments on the account, EOBs / ERAs / Correspondence, and perform pre-resolution analysis. Understand the reason for rejection, denials, or no status from the payer. Work on the resolution of the claim by performing follow-up with the payer using the most optimal method, i.e., calling, IVR, web, or email. Take appropriate action to move the account towards resolution, including rebilling the claim, sending claims for reprocessing, reconsideration, redetermination, appeal (portal/web, fax, mail), verifying eligibility and benefits, and managing management hand-off with the client and internal teams. Documentation of all the...

Posted 1 month ago

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