0 - 31 years

3 - 4 Lacs

Posted:6 days ago| Platform: Apna logo

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Work Mode

On-site

Job Type

Full Time

Job Description

Key Responsibilities:Call insurance companies (payer) to follow up on outstanding claims. Review and analyze denied or underpaid claims and take appropriate action to resolve them. Identify and categorize denial reasons (COB, medical necessity, timely filing, authorization, coding, etc.). Coordinate with the billing and coding teams to rectify claim errors and refile when needed. Maintain accurate documentation of all actions taken in the billing system. Escalate unresolved claims and complex denials to the team lead or client as required. Meet daily, weekly, and monthly productivity and quality targets. Required Skills & Qualifications: Bachelor’s degree (preferably in commerce, life sciences, or healthcare management). 1–5 years of experience in US healthcare AR calling or denial management. Strong understanding of US healthcare claims process, insurance terminology, and EOBs (Explanation of Benefits).

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