Sr Executive - RCM Services

CorroHealth

2 - 4 years

3 - 7 Lacs

Noida

Posted:3 weeks ago| Platform:

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Skills Required

Denial management Claims Nursing IVR Product service Office equipment US healthcare Accounts receivable Analytics Auditing

Work Mode

Work from Office

Job Type

Full Time

Job Description

Any graduation
2 to 4 years of Years of experience in accounts receivable follow-up / denial management for US healthcare customers
Proficient computer skills. Excellent communication skills, both verbal and written
Strong people skills & Outstanding organizational skills
Ability to maintain the confidentiality of information
Willingness to work continuously in night shifts

Key Responsibilities:

Perform pre-call analysis and check status by calling the payer or using IVR or web portal services
Maintain adequate documentation on the client software to send necessary documentation to insurance companies and maintain a clear audit trail for future reference
Record aftercall actions and perform post call analysis for the claim follow-up
Provide accurate product/ service information to customer, research available documentation including authorization, nursing notes, medical documentation on clients systems, interpret explanation of benefits received etc prior to making the call.
Perform analysis of accounts receivable data and understand the reasons for underpayment, days in A/R, top denial reasons, use appropriate codes to be used in documentation of the reasons for denials / underpayments
Prepare, review, and transmit claims using AR software, including electronic and paper claim processing
Review patient bills for accuracy and completeness and obtain any missing information

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