Claims Processing - Non-Voice Process

Allsec Technologies

1 - 3 years

2 - 3 Lacs

Chennai

Posted:1 week ago| Platform:

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Skills Required

Healthcare Pre Authorization US Healthcare Denial Management Medical Billing Claims Adjudication Claims Processing

Work Mode

Work from Office

Job Type

Full Time

Job Description

Greetings from Alldigi Tech!!!

HealthCare (non-Voice)

Shift:

Experience:

Notice Period:

Connecting with our client's business partners in the US, typically insurance companies to follow up and coordinate on the following activities:

Coordinates medical specialty referrals and procedures for patients in a timely, efficient, and equitable manner
Utilizes EMR system(s) to track and research urgent requests and keep patient information current and accurate
Communicates information, including updates of referral requests, appointment details, and communication preferences vis EMR, email, chat, and patient portal
Review patient charts and records to understand what authorizations and documentations need to be pursued
Ensures that all barriers to care (such as language, transportation restrictions, or financial needs) are addressed
Provides clear, thorough, and accurate documentation of all referral processing steps, in the patient's electronic health records
Processes necessary prior authorizations and insurance referrals as needed to complete the referral process
Follows organizational guidelines regarding the use of the Electronic Medical Record (EMR) in compliance with HIPAA and patient confidentiality standards
Maintains access to the Health Information Exchange (HIN) and other related systems
Uses HIN and other related systems to gather information needed to coordinate care and keep patients' electronic health records up to date with the status of care that is being coordinated
Maintains surveillance ticklers and/or work with Health Information Technology to proactively identify the need for patient care
Navigates patient to care, as assigned.

Interested candidates can come for the Direct Walk-In Interview to the office.

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