Process Associate

Calpion Software Technologies

1 - 4 years

0 - 3 Lacs

Bengaluru

Posted:2 months ago| Platform:

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Skills Required

Charge Posting Payment Posting Revenue Cycle Management US Healthcare Medical Billing

Work Mode

Work from Office

Job Type

Full Time

Job Description

Role & responsibilities

Reviewing patient medical records and bills to ensure accuracy
Entering patient treatment codes into billing software
Processing and submitting medical claims to insurance companies
Following up on rejected or denied claims
Communicating with healthcare providers and insurance companies to resolve billing issues
Assisting with patient inquiries about billing and insurance
Maintaining confidentiality of patient data according to HIPAA guidelines
Updating and maintaining billing software with the latest coding information
Performing regular audits to ensure that all charges are accounted for and billed correctly
Processing payments from insurance companies and patients

Preferred candidate profile

Excellent written and oral communication skills.
Minimum 1-year experience in AR calling
Understand the Revenue Cycle Management (RCM) of US Healthcare providers.
Basic knowledge of Denials and immediate action to resolve them.
Follow up on the claims for collection of payment.
Responsible for calling insurance companies in the USA on behalf of doctors/physicians and following up on outstanding accounts receivables.
Should be able to resolve billing issues that have resulted in payment delays.
Must be spontaneous and enthusiastic

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