• Perform pre-call analysis and check the status by calling the payer or using IVR or web portal services
• Maintain adequate documentation on the client software to send the 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 inquiries, requests, and complaints through calling to ensure those customer inquiries are resolved at the first point of contact
• Provide accurate product/ service information to the 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


Skills and Qualifications Required

• Candidate must be fluent in English. Prior experience in an international call center is an advantage, but not compulsory
• Flexibility to work in night shift, according to US office timings and holiday calendars
• Fast learner with the ability to talk to people effectively, and adapt well to different situations for meeting operational goals
• Basic working knowledge of computers
• Degree/diploma in arts or sciences without any current arrears. BTech, BE, MBA, MCA and other professional courses will not be considered, as this is an entry level call centre position

Role: Ayurved Practitioners
Industry Type: Medical Services / Hospital
Department: Healthcare & Life Sciences
Employment Type: Full Time, Permanent
Role Category: Doctor

Education
UG: Any Graduate
PG: Any Postgraduate

Key Skills
Basic Usage Nursing IVR Product service Healthcare Research Operations Accounts receivable Auditing