US Healthcare Accounts Receivable

1 - 5 years

0 Lacs

Posted:5 days ago| Platform: Shine logo

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Work Mode

On-site

Job Type

Full Time

Job Description

As an AR Caller in the US Healthcare sector based in Navi Mumbai, Turbhe, your role will involve managing and resolving outstanding claims within the Revenue Cycle Management operations. Your responsibilities will include: - Denial Management: Utilize end-to-end process knowledge to efficiently manage, analyze, and resolve claim denials within the US healthcare framework. - Compliance and Documentation: Ensure all activities align with US healthcare regulations such as HIPAA and maintain meticulous documentation of follow-up actions and communications within the billing system. - Service Excellence: Demonstrate professionalism and service excellence in interactions with clients, employees, and US-based patient account details. To qualify for this role, you should have: Experience: - 1 to 2 years of proven experience in an AR calling role exclusively within the US Healthcare Industry. - Specific, hands-on experience working with Epic Software is mandatory. - Experience working with the CMS-1500 process and US EOBs (Explanation of Benefits). Eligibility: - Any Graduate degree is acceptable. Skills & Knowledge: - Familiarity with US billing codes and guidelines. - Strong communication and problem-solving skills with a professional command of English. As an AR Caller in the US Healthcare sector based in Navi Mumbai, Turbhe, your role will involve managing and resolving outstanding claims within the Revenue Cycle Management operations. Your responsibilities will include: - Denial Management: Utilize end-to-end process knowledge to efficiently manage, analyze, and resolve claim denials within the US healthcare framework. - Compliance and Documentation: Ensure all activities align with US healthcare regulations such as HIPAA and maintain meticulous documentation of follow-up actions and communications within the billing system. - Service Excellence: Demonstrate professionalism and service excellence in interactions with clients, employees, and US-based patient account details. To qualify for this role, you should have: Experience: - 1 to 2 years of proven experience in an AR calling role exclusively within the US Healthcare Industry. - Specific, hands-on experience working with Epic Software is mandatory. - Experience working with the CMS-1500 process and US EOBs (Explanation of Benefits). Eligibility: - Any Graduate degree is acceptable. Skills & Knowledge: - Familiarity with US billing codes and guidelines. - Strong communication and problem-solving skills with a professional command of English.

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