6 Claim Followup Jobs

Job Description You will be a Healthcare Account Executive at SPRY Therapeutics, Inc., located in Pune. Your role involves working closely with healthcare professionals to ensure their needs are met through SPRY's solutions. Key Responsibilities - Claim Follow-up: Place outbound calls to insurance companies to check the status of unpaid or denied claims. - Denial Management: Work on claims that have been denied or rejected, identifying the reasons for the denial and working to resolve them. - Appeals: Prepare and submit appeal letters to insurance companies for denied claims. - Record Keeping: Maintain detailed records of all communications and actions taken on claims. - Compliance: Adhere t...

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 involv...

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 rei...

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 insur...

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 t...

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 ...