Roles & Responsibilities:- Insurance Calling & Claim Follow-Up Call US insurance companies to verify claim status, eligibility, and gather detailed information on pending or denied claims. Accurately document all interactions in the billing or practice management system. Identify reasons for delays, rejections, or denials and take necessary action. Perform timely follow-up to ensure claims move toward payment. Denial Management Review denial codes and analyze payer responses to determine the cause. Coordinate with billing teams, hospitals, and doctors to correct and reprocess claims. Assist in preparing appeals and tracking corrected claims until closure. Payment Posting Post insurance payments (ERA/EOB) accurately into US hospital or practice management software. Reconcile daily deposit batches and highlight underpayments or discrepancies. Maintain consistent accuracy with adjustments and financial records. Documentation & Compliance Maintain updated notes, logs, and claim follow-up records. Follow HIPAA and US healthcare compliance guidelines. Achieve daily productivity and quality benchmarks. Communication & Coordination Communicate effectively with internal teams, US clients, doctors, and patients when required. Highlight recurring denial trends and payer issues. Participate in training and process improvement initiatives.

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Customer Support Executive