Client Partner - Accounts Receivable (AR Caller)

1 - 5 years

0 Lacs

Posted:1 month ago| Platform: Shine logo

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Work Mode

On-site

Job Type

Full Time

Job Description

Role Overview: You will be responsible for maintaining adequate documentation on the client software to send the necessary documentation to insurance companies and maintain a clear audit trail for future reference. Additionally, you will record after-call actions and perform post-call analysis for claim follow-up. Your role will involve assessing and resolving inquiries, requests, and complaints through calling to ensure that customer inquiries are resolved at the first point of contact. It is essential to provide accurate product/service information to customers, research available documentation including authorization, nursing notes, medical documentation on client's systems, and interpret explanation of benefits received before making the call. Key Responsibilities: - Maintain adequate documentation on the client software and send necessary documentation to insurance companies - Record after-call actions and perform post-call analysis for claim follow-up - Assess and resolve inquiries, requests, and complaints through calling to ensure customer inquiries are resolved at the first point of contact - Provide accurate product/service information to customers - Research available documentation including authorization, nursing notes, medical documentation on client's systems - Interpret explanation of benefits received before making the call Qualifications Required: - 1-4 years of experience in accounts receivable follow-up/denial management for US healthcare customers - Fluent verbal communication abilities and call center expertise - Knowledge of denials management and A/R fundamentals preferred - Willingness to work continuously in night shifts and possess basic working knowledge of computers - Prior experience working in a medical billing company and using medical billing software considered an advantage - Knowledge of healthcare terminology and ICD/CPT codes considered a plus - Graduate in any discipline Additional Details: Omit this section as no additional details of the company are present in the job description.,

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