Customer Care Analyst

5 - 9 years

0 Lacs

Posted:2 days ago| Platform: Shine logo

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Work Mode

On-site

Job Type

Full Time

Job Description

As an experienced professional in Revenue Cycle Management within the medical billing domain, you will be responsible for performing outbound calls to insurance companies in the US for the purpose of collecting outstanding Accounts Receivables. Your role as a Subject Matter Expert in Denial Management will require you to provide trend analysis of issues along with their appropriate solutions to your supervisor. Responding to customer requests promptly via phone or in writing to ensure the timely resolution of unpaid and denied claims will be a crucial aspect of your daily tasks. It is imperative that you adhere strictly to Standard Operating Procedure guidelines while maintaining productivity standards. Your proficiency in appeals management will be essential in handling various denial scenarios effectively. Furthermore, you will be expected to identify opportunities for automation in the Accounts Receivable process to streamline operations. Attending meetings and in-service training sessions will be necessary to enhance your Accounts Receivable knowledge, compliance skills, and ensure the maintenance of relevant credentials. You must ensure complete adherence to Turnaround Time (TAT) and Service Level Agreements (SLAs) as defined by the customer while upholding patient confidentiality at all times. In addition to the responsibilities mentioned above, the required skills for this role include having a minimum of 5 years of experience in Revenue Cycle Management related to medical billing. You should possess expertise in Revenue cycle management and End-to-End resolution guidelines. Proficiency in using Windows PC applications, including MS Office, navigating screens, and learning new software tools is essential for this position. Moreover, you must demonstrate the ability to work consistently during office scheduled shifts from Monday to Friday, between 5:30 pm to 3:30 am IST. Your dedication to maintaining high standards of performance and compliance with industry regulations will be key to success in this role.,

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