The accounts receivable follow-up team in a healthcare organization is responsible for looking after denied claims and reopening them to receive maximum reimbursement from the insurance companies.
Essential Duties and Responsibilities:
Follow up with the payer to check on claim status.
Identify denial reason and work on resolution.
Save claim from getting written off by timely following up.
Should have sound knowledge of working on Billing scrubbers and making edits.
Work on Contractual adjustments & write off projects.
Should have good Cash collected/Resolution Rate.
should have calling skills, probing skills and denials understanding.
Work in all shifts on a rotational basis.
No Planned leaves for next 6 months.

Qualifications:

Graduate in any discipline from a recognized educational institute.
Good analytical skills and proficiency with MS Word, Excel, and PowerPoint.
Good communication Skills (both written & verbal)

Skill Set:

Candidate should be good in Denial Management.
Candidate should have knowledge of Medicare, Medicaid & ICD & CPT codes used on Denials.
Ability to interact positively with team members, peer group and seniors
Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests.
Role: Non Voice - Other
Industry Type: Medical Services / Hospital
Department: Customer Success, Service & Operations
Employment Type: Full Time, Permanent
Role Category: Non Voice
Education
UG: Any Graduate
PG: Any Postgraduate
Key Skills
Analytical skills Denial management Claims Billing Patient careHealthcareMS WordRevenue cycle managementAccounts receivable