Team Leader /Manager For AR/ Authorisation/Coder in Hospital Billing

Job Description

Role & responsibilities Lead and manage the denial management team, including training, coaching, and performance evaluations. Develop and implement strategies to reduce claim denials and improve the resolution process. Analyse denial trends to identify root causes and collaborate with appropriate departments to address systemic issues. Monitor team performance metrics related to denial management and provide regular reports to senior management. Serve as a point of escalation for complex denial issues, working with insurance companies. Must have knowledge in Hospital Billing, Inpatient claims and Revenue codes. Obtain Prior Authorisation from Insurance providers for medical procedures, diagnosis tests, surgeries and prescription medications. Communicate with healthcare providers, insurance companies to gather the necessary information for Authorisation. Review patient records and billing information to identify prior authorisation requirements. Update patient records and billing systems with prior authorisation information. Track the status of Authorisation requests and follow up with insurance companies on pending approvals or denials. Resolve Authorisation issues, appeals and discrepancies in a timely manner. Preferred candidate profile Sound knowledge of U.S. Healthcare Domain. We're seeking an experienced CPC Certified coder having 2+ years of experience in Anesthesia coding. Perks and benefits Perks and Benefits Remuneration will be at par with the best industry standards, will not be a constraint for the right candidate Contact- hr.india@neemtree.us hr.kolkata@neemtree.us Phone No- 03348131221 /9860534522(Whatsapp No.)