Job Summary: Analysis of account receivables due from U.S. healthcare insurance organizations and initiation of necessary follow up actions (Voice and Non Voice) to get reimbursed with undertaking appropriate denial and appeal management protocol. Job Responsibilities and Duties: Analyses outstanding claims and initiates collection efforts as per aging report to get claims reimbursed. Undertaking denial follow up and appeals. Key Skills: Strong knowledge in RCM and Denial Management. Expertise in analysing trends in CPTs, Modifiers & ICD codes. Proficiency in insurance guidelines on Medicare and Non Medicare. Excellent communication skills. Ability to multitask. Good Analytical, Oral and Written Skills. Typing Skills: 30 words/min . Familiar with Microsoft office suite. Experience: Relevant Exp: 1-5 years in AR calling (US healthcare) Provider Side - Patient Billing. Education: Graduation Mandatory . Location: Hitech City - Hyderabad . Timings: Should be flexible with night shift timings (5:30 pm to 2:30 am). 5 Days work - Fixed shift (Saturday and Sunday Week off). Should travel on own transport. What We Offer: - Competitive salary and benefits package. - Opportunities for professional growth and development. - A collaborative and innovative work environment. - The chance to make a meaningful impact on healthcare delivery and patient outcome
Job Summary: Analysis of account receivables due from U.S. healthcare insurance organizations and initiation of necessary follow up actions (Voice and Non Voice) to get reimbursed with undertaking appropriate denial and appeal management protocol. Job Responsibilities and Duties: Analyses outstanding claims and initiates collection efforts as per aging report to get claims reimbursed. Undertaking denial follow up and appeals. Key Skills: Strong knowledge in RCM and Denial Management. Expertise in analysing trends in CPTs, Modifiers & ICD codes. Proficiency in insurance guidelines on Medicare and Non Medicare. Excellent communication skills. Ability to multitask. Good Analytical, Oral and Written Skills. Typing Skills: 30 words/min . Familiar with Microsoft office suite. Experience: Relevant Exp: 1-5 years in AR calling (US healthcare) Provider Side - Patient Billing. Education: Graduation Mandatory . Location: Hitech City - Hyderabad . Timings: Should be flexible with night shift timings (5:30 pm to 2:30 am). 5 Days work - Fixed shift (Saturday and Sunday Week off). Should travel on own transport. What We Offer: - Competitive salary and benefits package. - Opportunities for professional growth and development. - A collaborative and innovative work environment. - The chance to make a meaningful impact on healthcare delivery and patient outcome
Job Summary: We are hiring experienced AR Callers to join our growing team in Hyderabad. If you have in-depth knowledge and experience of the US healthcare RCM process and are looking for a great work environment with exciting perks we want to hear from you! Job Responsibilities and Duties: . Must have experienced handling US Healthcare providers/ Physicians/ Accounts Receivable . Responsible for working on Denials, Appeals, Rejections, Credit Balance, LOA's to accounts etc . Ensure that the deliverables to the client adhere to the quality standards . Identify issues and escalate the same to the immediate supervisor and the Team Leader (If necessary) . Update Production logs . Should adherence to the company policies & procedures . Analyses outstanding claims and initiates collection efforts as per aging report to get claims reimbursed. Good to have Key Skills: 1. Should have 1 to 5 Years of AR calling Experience. 2. Strong knowledge in Healthcare concepts (Physician Billing). 3. Excellent Knowledge on RCM, Medicare, Medicaid, Hospice, HMO, PPO, POS, EPO, MCO plans, Modifiers, Office code visit, CPT codes, Drug codes, Appeals, Denial management, CMS-1500 form, clearing house etc. 4. Ability to understand the client requirements and specifications of the project 5. Should be proficient in calling the insurance companies. 6. Should ensure the targeted collections are met on a daily / monthly basis 7. Should meet the productivity targets of clients within the stipulated time. 8. Should be accurate and do the timely follow up on pending claims wherein required. 9. Should prepare and Maintain status reports on a weekly and monthly basis 10. Typing Skills: 30 words/min. 11. Familiar with Microsoft office suite. 12. Should come by self-transport to office Experience: Relevant Exp: 1-5 years in AR calling (US healthcare) Provider Side - Phisician Billing. Education: Graduation Mandatory . Location: Orbit Towers, Hitech City - Hyderabad. Shift Timings: Should be flexible with night shift timings (5:30 pm to 2:30 am). What We Offer: - 5 Days work - Fixed shift (Saturday and Sunday Week off). - Competitive salary and benefits package. - Attractive Monthly Incentive package. - Attractive Transport Allowances . - Indian Holidays . - Opportunities for professional growth and development. - A collaborative and innovative work environment. - The chance to make a meaningful impact on healthcare delivery and patient outcome.