Role & responsibilities Responsible for calling Insurance companies (in US) on behalf of doctors/physicians for Claim Status, Eligibility verification and follow-up on outstanding Accounts Receivable. Responsible for timely and appropriate follow-up actions against outstanding Accounts Receivable based on denial reasons. To identify and resolve medical claims billing and reimbursement issues and aimed at maximizing collections and minimizing accounts receivables. Responsible for denial trend analysis, Payer reimbursement guidelines and resolving bulk issues or escalate to management for further review. Handling EDI rejections Preferred candidate profile Excellent Communication skills Should be willing to work in US Shift (Night Shift). Good computer skills including Microsoft Office. Excellent analytical skills Should be well versed with rules and regulations of US Healthcare. You can send your resume hr@valuercm.com.
Role & responsibilities Responsible for calling Insurance companies (in US) on behalf of doctors/physicians for Claim Status, Eligibility verification and follow-up on outstanding Accounts Receivable. Responsible for timely and appropriate follow-up actions against outstanding Accounts Receivable based on denial reasons. To identify and resolve medical claims billing and reimbursement issues and aimed at maximizing collections and minimizing accounts receivables. Responsible for denial trend analysis, Payer reimbursement guidelines and resolving bulk issues or escalate to management for further review. Handling EDI rejections Preferred candidate profile Excellent Communication skills Should be willing to work in US Shift (Night Shift). Good computer skills including Microsoft Office. Excellent analytical skills Should be well versed with rules and regulations of US Healthcare. You can send your resume hr@valuercm.com.
Role & responsibilities Overseeing a team of AR specialists, assigning tasks, setting priorities, monitoring performance, and providing guidance and support as needed. Analyzing Aging reports to identify trends and patterns and make recommendations for improvement. Communicating with clients or insurance companies regarding outstanding payments, resolving disputes, and answering queries related to billing and payments. Handling escalated issues or disputes, working to resolve them in a timely and satisfactory manner to maintain positive relationships with clients and stakeholders. Collaborating with other departments to streamline processes and improve overall revenue cycle performance. Conducting training sessions to ensure that team members are equipped with the necessary skills and knowledge to perform their duties effectively. Monitoring the performance of team members and providing regular feedback. Setting performance targets, track progress and implements strategies to address any performance issues. Analyze existing AR processes and identify areas for improvement to enhance efficiency and effectiveness. Preferred candidate profile Minimum qualifications: Any Graduate. Willing to work in night shift. Minimum 1 Year experience as Team Lead.
Role & responsibilities Responsible for calling Insurance companies (in US) on behalf of doctors/physicians for Claim Status, Eligibility verification and follow-up on outstanding Accounts Receivable. Responsible for timely and appropriate follow-up actions against outstanding Accounts Receivable based on denial reasons. To identify and resolve medical claims billing and reimbursement issues and aimed at maximizing collections and minimizing accounts receivables. Responsible for denial trend analysis, Payer reimbursement guidelines and resolving bulk issues or escalate to management for further review. Handling EDI rejections Preferred candidate profile Excellent Communication skills Should be willing to work in US Shift (Night Shift). Good computer skills including Microsoft Office. Excellent analytical skills Should be well versed with rules and regulations of US Healthcare.