6 Benefit Verification Jobs

Ascent is looking for Prior- auth profile Experience: 1 year + Salary: Industry norms Location: Hyderabad (Uppal) Looking for only voice process Notice Period: Immediate Joiners

Looking for eligibility and benefit verification / Authorization Company - Ascent Business Solution (Hyderabad) Experience - 1+ years salary - as per company immediate joiner Contact number - 8956069774

Greetings from Savista!!! We are hiring experienced AR callers for Dental AR. Roles & Responsibilities: Calling Insurance companies on behalf of dentists/dental clinics and following up on outstanding accounts receivable. Prioritize the pending claims for calling from the aging bucket as per the strategy defined. Analyze and execute corrective actions to the claims company (payers) for payment of outstanding claims. Review claims as per status from insurance and take appropriate next action defined by the client SOPs. Review provider claims that have not been billed, in process, pending additional information, paid, and /or denied by Insurance companies. Abide with laws governing process and applicable rules for confidentiality and HIPAA compliance. Escalate difficult collection situations to management on time. Meeting daily/weekly and monthly quality and production targets set for an individual. The AR is responsible for the daily submission of the completed dental appointments for the dental clinic. They check for the appropriate X-ray, Narrative, and Perio chart that needs to be attached to the claim basis for the services being billed . Calling Insurance companies on behalf of dentists/dental clinics to request the EOBs required to bill the secondary/tertiary claim. Cross-reference medical records and billing information to verify accuracy They ensure that eligibility is verified for the payors before billing the claims to the insurance. Required Candidate profile: Minimum 1 years of work experience in accounts receivables with relevant experience in Dental AR. Basic knowledge of payment posting concepts; how to post adjustments, credits etc. Basic knowledge claim edits and clearing house rejection resolution. Good Typing speed and keyboard skills Good mathematical knowledge of basic concepts such as how to calculate %. Good reasoning and analytical skills Team player Data analysis skills Good Root Cause Analysis capabilities Excel and MS Office skills Excellent Vocal Communication Adaptability to work in different shifts, teams, and roles. Dental Experience is Mandatory. Interested candidates please share resume to ta.chennai@savistarcm.com or reach us at 8448999198/8448999197. Regards, TA- Team

Position title - Revenue Cycle Representative - Eligibility Verification & Benefit Verification Verify patient insurance coverage and eligibility for medical services Contact insurance companies via phone, online portals, or fax to confirm benefits and policy details Accurately document insurance verification details in the system Identify and resolve discrepancies in insurance information. Contact name - Sonam Raorane Contact no . - 9137996483.

Review outstanding insurance balances to identify and resolve issues preventing the claim payment, including coordination with the payers when appropriate via call or through website Analyze the outstanding claims/claim denials to improve first pass denial rates and reduce age of overall AR Ensure that all the workflow items are completed within set turn around time within quality expectations Responsible to followup with insurance/payer for the claim status Responsible for sending appeal package through appropriate channels (fax/email/electronic portals) along with attaching the supporting documents such as medical records Confirm patients insurance coverage and active status Contact insurance/payer or use online portals for real time verification. Contact name - Khushal Savandre Contact no . - 8450996958

We have openings for the Team Manager position, the details of which are given below: Position : Team Manager (EVBV) Experience : 5+ years Location : Airoli, Navi Mumbai No. of Openings : 5 Job Responsibilities: Team Management: Help manage team work life balance through efforts on leave planning and rostering. cts) to enable high retention and satisfaction rates.. Help manage team work life balance through efforts on leave planning and rostering Communicate effectively within & with team members & escalate issues to the management for timely resolution. Continuously manage performance through timely and effective feedback and coaching. Partner with Recruiting and Training functions to help improve the quality of incoming talent. Operations & Delivery: Manage team production and conduct process Quality monitoring. Manage work assignment allocation & review of work list. Encourage & engage team members for continuous improvement / process optimization / automation ideas. Manage Business Intelligence through reports & MIS for internal / client use. Determine validity of move to client, either send back instruction to Rep or approve & move to client. Review coding review requests & quantify preventable issues. Communicate to Billing, PP or Coding as applicable. Scenario findings to all staff for examples that were not valid coding review needs. Work with Coding on responses that can be used in appeals when coded correctly Review denial adjustments for validity - quantify preventable issues. Communicate to applicable departments to minimize and use accounts as examples in training for more effective actions. Review high risk/aged/ excessive incomplete action account balances. Manage up review AR findings and feedback. Create QA & Tip for week from client, payer, and account assessment scenarios. Manage Global Issues Review process / function managed for Global Issues, high risk / aged items, Payer Trends, training needs for team members. Create case studies on identified issues impacting team performance / client business and share inputs with Quality & Training Teams. Compliance: Ensure highest levels of Organization and Healthcare related compliance requirements are adhered to. Ensure adherence to maintaining all necessary process documentation as per the QMS. Mandatory Requirements : Graduation in any stream Work experience of 5+ years in RCM with relevant experience in the Eligibility Verification functions of a US Healthcare Setup 3+ years of experience in managing teams of 20+ executives Experience in setting & measuring team targets, basic people management & leadership skills If interested, kindly email your updated resume to shivani.tripathi@ikshealth.com