Ar Caller

KRAFT BPO

Job Description

- Perform pre-call analysis and check status by calling the payer or using IVR or web portal services

- Maintain adequate documentation on the client software to send 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 enquiries, requests and complaints through calling to ensure that customer enquiries are resolved at first point of contact

- Provide accurate product/ service information to customer, research available documentation including authorization, nursing notes, medical documentation on client's 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

Job Requirements

To be considered for this position, applicants need to meet the following qualification criteria:

- 1-2 Years experience in accounts receivable follow-up / denial management for US healthcare customers

- Fluent verbal communication abilities / call center expertise

- Knowledge on Denials management and A/R fundamentals will be preferred

- Willingness to work continuously in night shifts.

- Basic working knowledge of computers.

- Prior experience of working in a medical billing company and use of medical billing software will be considered an advantage. Kraft BPO will provide training on the client's medical billing software as part of the training.

- Knowledge of Healthcare terminology and ICD/CPT codes will be considered a plus.

Experience : 1 - 7 Years

No. of Openings : 100

Education : Higher Secondary

Role : Ar Caller

Industry Type : Call Centre / BPO / KPO / ITES / LPO

Gender : [ Male / Female ]

Job Country : India