Client Partner - Accounts Receivable

Access Healthcare

1 - 4 years

2 - 5 Lacs

Noida Uttar Pradesh India

Posted:1 month ago| Platform: Foundit logo

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Skills Required

Accounts Receivable Us Healthcare Communication Skills Call Management Account Management employee relationships

Work Mode

On-site

Job Type

Full Time

Job Description

Client Partner - Accounts Receivable

Responsibilities

Perform
pre-call analysis
and check claim status by calling the payer or utilizing IVR/web portal services.
Maintain
adequate documentation
on client software, ensuring a clear audit trail and facilitating the submission of necessary documents to insurance companies.
Record
after-call actions
and perform
post-call analysis
for effective claim follow-up.
Assess and resolve inquiries, requests, and complaints through calling, striving for
first-point resolution
of customer inquiries.
Provide accurate product/service information, research available documentation (including authorization, nursing notes, medical documentation on client systems), and interpret
Explanation of Benefits (EOBs)
before making calls.
Conduct thorough analysis of
accounts receivable (A/R) data
to understand reasons for
underpayment
, days in A/R, and top
denial reasons
.
Use appropriate codes for documentation of denial/underpayment reasons.

Skills

Fluent
verbal communication abilities
and
call center expertise
.
Strong analytical and problem-solving skills for A/R data analysis.
Knowledge of
denials management
and
A/R fundamentals
will be preferred.
Basic working knowledge of computers.
Ability to interpret
Explanation of Benefits (EOBs)
and medical documentation.
Knowledge of
Healthcare terminology and ICD/CPT codes
will be considered a plus.

Qualifications

Relevant experience in
accounts receivable follow-up/denial management
for US healthcare customers.
Prior experience working in a
medical billing company
and using
medical billing software
will be considered an advantage.
Willingness to work continuously in
night shifts
.

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