5 Claim Followup Jobs

As a Hospital Billing Team Leader at our Hyderabad location, you will be responsible for managing a team that focuses on following up on unpaid insurance claims and patient balances. Your role will play a crucial part in ensuring timely collection of money owed to the hospital. You will be tasked with training your team, monitoring progress, resolving issues, and collaborating with other departments to enhance billing outcomes. Your key responsibilities will include leading and supporting a team of AR (accounts receivable) specialists, assigning tasks, reviewing denied or delayed claims for prompt resolution, monitoring daily progress, and generating reports. Additionally, you will be involved in training new staff, assisting existing team members in their development, ensuring compliance with billing regulations and hospital policies, and addressing recurring issues in the billing or follow-up procedures. Complex or escalated account matters will also fall under your purview. To qualify for this role, you should possess a high school diploma, with an associate or bachelor's degree being preferred. Furthermore, a minimum of 6 years of experience in the field is required, including at least 1-2 years of experience in a Team Lead capacity. Key skills for success in this position include a solid understanding of medical insurance billing and claim follow-up, the ability to lead and organize a small team, excellent communication and problem-solving abilities, and proficiency in using billing software and Excel. If you are looking to take on a challenging yet rewarding role in hospital billing leadership, this opportunity could be the perfect fit for you. Join our team and make a difference in ensuring efficient and effective billing practices for our institution.,

The role involves managing and coordinating various aspects of insurance policies for the organization. This includes managing claims, liaising with insurance companies, and ensuring policies are up-to-date. You will be responsible for analyzing insurance policies to understand coverage, inclusions, exclusions, and terms and conditions. Your duties will include handling Employees Insurance, Marine transit & Warehouse Storage Insurance, Vehicle Insurance, Company properties, and Multirisk Insurance policies. You will receive and review insurance claims, ensuring all necessary information is included. It will be your responsibility to verify policy coverage and assess eligibility for claim reimbursement. Additionally, you will investigate and resolve discrepancies or missing information in claims. You will be expected to maintain detailed records of claims, correspondence, and actions taken. Timely reminders, follow-ups for the claims, and maintaining claim follow-up trackers will also be part of your responsibilities. This is a full-time position with benefits such as food provided and leave encashment. The work schedule is during the day shift at the designated work location.,

You are required to have 1-2 years of experience in US healthcare RCM to fill the role of a Spravato/Mental Health Biller & Caller. Your main responsibilities will include processing and submitting Spravato/Mental Health claims, verifying insurance eligibility, obtaining prior authorizations, following up on denied/rejected claims, and resolving outstanding AR. It is essential to possess strong communication skills as you will be interacting with insurance companies, providers, and patients to ensure timely reimbursement. Your skills should include experience in medical billing & coding (CPT, HCPCS, ICD-10), a solid understanding of denial management & claim follow-up, familiarity with insurance portals, EHRs & clearinghouses, as well as excellent communication & analytical abilities. If you join us, you can expect a competitive salary & incentives, the opportunity to work with global clients, and growth prospects in US healthcare RCM. If you are interested in this position, you can apply now or contact us for more details at hr@finnastra.com.,

You are in search of a Spravato/Mental Health Biller & Caller with 1-2 years of experience in US healthcare RCM. In this role, you will be responsible for billing, claims processing, denial management, and AR follow-ups specifically for Spravato (Esketamine) & Mental Health services. It is essential to possess strong communication skills to effectively engage with insurance companies, providers, and patients to ensure timely reimbursement. Your primary responsibilities will include processing and submitting Spravato/Mental Health claims, verifying insurance eligibility, obtaining prior authorizations, following up on denied/rejected claims, and resolving outstanding AR. A crucial aspect of this role will be to have a comprehensive understanding of medical billing & coding (CPT, HCPCS, ICD-10), a strong knowledge of denial management & claim follow-up, familiarity with insurance portals, EHRs & clearinghouses, as well as excellent communication & analytical skills. Joining our team comes with the promise of a competitive salary & incentives, the opportunity to work with global clients, and growth prospects in the realm of US healthcare RCM. If you are eager to be a part of our dynamic team, do not hesitate to apply now or reach out for more details at hr@finnastra.coom.,

About E-Health Source: E-Health Source is a leading Revenue Cycle Management (RCM) service provider, committed to delivering efficient, accurate, and compliant healthcare solutions for clients across the US. Our team is driven by innovation, process excellence, and customer satisfaction. Job Summary: We are looking for a highly motivated ATL/TL Accounts Receivable (AR) professional with strong leadership capabilities and a deep understanding of the US healthcare RCM process. The ideal candidate will be responsible for leading a team of AR callers, ensuring timely follow-ups, reducing outstanding A/R, and maintaining strong client communication. Role & responsibilities Lead and mentor a team of AR executives/callers to ensure performance targets are met. Monitor and manage the AR follow-up process, focusing on insurance claims follow-up, denial management, and resolution. Ensure compliance with client-specific SLAs and internal quality standards. Perform root cause analysis of denials and underpayments, and take corrective actions. Analyze aging reports and implement strategies to reduce Days in A/R. Conduct regular team meetings, performance reviews, and provide feedback for improvements. Coordinate with internal QA and training teams to address performance and knowledge gaps. Act as the point of contact for clients, addressing concerns and providing performance updates. Prepare and share daily, weekly, and monthly performance reports with stakeholders. Preferred candidate profile Minimum 5 years of experience in US Healthcare AR (RCM process), with at least 12 years in a supervisory or team handling role. Strong knowledge of denial management, claims follow-up, CPT/ICD codes, EOBs, and insurance portals. Proficient in analyzing A/R reports and working on claim resolutions. Excellent communication and interpersonal skills. Ability to lead and motivate teams in a fast-paced, target-driven environment. Flexible to work in night shifts as per US time zones. Familiarity with EMR systems and client-specific RCM tools is a plus. Location : Usmanpura, Ahmedabad, 5 days working Night Shift Timings : 6.30 PM to 3.30 AM Onsite opporunity