Test - Voice Process

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0 Lacs

Posted:5 months ago| Platform: Indeed logo

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Work Mode

On-site

Job Type

Full Time

Job Description

Job Information

    Job Opening ID

    ZR_147_JOB

    Date Opened

    06/14/2025

    Job Type

    Full time

    Industry

    Health Care

    Work Experience

    Fresher

    City

    Chennai

    State/Province

    Tamil Nadu

    Country

    India

    Zip/Postal Code

    600113

About Us

Coronis Ajuba stands as a premier global provider of business process outsourcing solutions to healthcare organizations in the U.S. The organization partners with hospitals, health networks, physicians practices, and related industry service organizations to provide a broad portfolio of customizable RCM solutions, uncover and capitalize on hidden financial opportunities, improve productivity and, ultimately, increase profits.

Roles and 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 after-call actions and perform post call analysis for the claim follow-up.
  • Assess and resolve enquiries, requests and complaints through calling to ensure that customer enquiries are resolved at first point of contact.
  • Provide accurate product/ service information to customer, research available documentation including authorization, nursing notes, medical documentation on client's 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.
  • Ensuring the daily assigned accounts are resolved/ worked on.
  • Escalate difficult collection situations to Team Leaders situations and seek education and instruction.

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