Role & responsibilities : Efficiently follow up on insurance claims to ensure timely and accurate payment. Investigate and resolve claim denials, rejections, and underpayments. Verify patient insurance information and eligibility for services. Maintain detailed records of all interactions and activities related to claims. Preferred candidate profile Previous experience in medical billing or revenue cycle management, with a deep understanding of medical coding (ICD-10, CPT, HCPCS) and claim submission processes. Proficiency in using medical billing software and Electronic Health Records (EHR) systems. Strong analytical skills and attention to detail to ensure accurate claim submissions. Excellent communication and interpersonal skills to interact with insurance providers and healthcare professionals effectively. Ability to work independently and as part of a team, managing multiple tasks efficiently. A commitment to maintaining patient privacy and confidentiality in accordance with HIPAA regulations.
Verify patient insurance coverage and eligibility to ensure accurate and timely billing Manage the entire revenue cycle process Cafeteria Work from home Food allowance Over time allowance Maternity policy Annual bonus Performance bonus Leave encashment Gratuity Provident fund
Manage billing and claims processing Submit and follow up on insurance claims and appeals Post and reconcile payments, manage denials and adjustments Investigate and resolve denied or unpaid claims Maintain accurate patient and insurance data Communicate with patients, insurers, and internal stakeholders Document actions and prepare performance reports Ensure regulatory compliance (HIPAA, payer policies) Assist with training and process improvement Proactively manage accounts receivable aging and collections Provide insights and updates to leadership on revenue cycle performance
Call insurance companies (US healthcare payers) to follow up on pending / denied claims. Resolve claim issues by understanding denial reasons and taking corrective action. Handle claim rejections, denials, and appeals by coordinating with internal teams. Update claim status accurately in the billing system / CRM after each call. Maintain call logs, documentation, and provide regular status reports. Work in night shifts (US process) and ensure excellent customer service etiquette.
Monitor and manage assigned customer accounts to ensure timely payments and minimize bad debt. Perform daily cash application of customer payments to appropriate invoices. Analyze aging reports and follow up with customers regarding overdue accounts. Investigate and resolve invoice discrepancies, short payments, and unapplied cash. Prepare AR reports, including aging schedules, DSO metrics, and collection forecasts. Coordinate with sales, billing, and customer service teams to resolve customer issues. Support monthly, quarterly, and annual closing activities by providing accurate AR data. Maintain accurate records of customer communications and collection activities. Recommend and implement process improvements to enhance AR efficiency.