• End-to-end follow-up on insurance claims via phone calls and/or payer portals.
• Analyze and resolve denials and rejections received from payers (CARC/RARC codes interpretation).
• Perform root cause analysis and take corrective action for recurring denial trends.
• Ensure timely re-submission, appeals, and escalations for denied claims.
• Maintain accurate documentation of all activities performed in the billing system.
• Meet daily, weekly, and monthly productivity and quality benchmarks.
• Collaborate with billing, coding, and patient access teams to fix front-end issues causing denials.
• Work on denial worklists, aging reports, and assigned inventory efficiently.
• Maintain up-to-date knowledge of payer policies, regulatory changes, and industry best practices.
• Provide feedback to Team Leads/Supervisors on process gaps and potential improvement areas.

Role: Customer Onboarding - Voice / Blended

Industry Type: IT Services & Consulting

Department: Customer Success, Service & Operations

Employment Type: Full Time, Permanent

Role Category: Voice / Blended

Education

UG: Any Graduate

PG: Any Postgraduate

About the company

BETSOL is a cloud-first digital transformation and data management company offering products and IT services to enterprises in over 40 countries. BETSOL team holds several engineering patents, is recognized with industry awards, and BETSOL maintains a net promoter score that is 2x the industry average.

BETSOL’s open source backup and recovery product line, Zmanda, delivers up to 50% savings in total cost of ownership (TCO) and best-in-class performance.

BETSOL Global IT Services builds and supports end-to-end enterprise solutions, reducing time-to-market for its customers.Our culture of trust, innovation, and equality has been instrumental in creating a collaborative community. At BETSOL, we harness technologies that revolutionize careers, companies, and the world. Join us to discover a future of opportunities.

When you join BETSOL, you join a global family. And we take care of each other. We e headquartered in Colorado, USA. Globally, we have employees working in India, Hungary, Romania, and Slovakia, associated with offices in vibrant cities all over the world. Go just about anywhere, and youll find an opportunity to make an impact.