Health Prime Inc

Anna Nagar, Puducherry

Role & responsibilities : Supporting the Medical Billing Operations and timely processing of Electronic claims on daily basis.Printing Primary and secondary paper claims on daily basis and mail it to Insurance companies.Review and resolve claim edits and rejections within 24 hours.Follow HIPAA guidelines when accessing and sharing patient information. Skills and Experience:Skills: Basic knowledge of computer, Microsoft office, Communication Skills English (Verbal/Written)Experience: The associate should possess 6 months to 6 years of RCM domain experience and functional knowledge/experience in Claims/rejections/Eligibility.

Associate Analyst: The position is a full-time follow up/analysis/calling Job. The associate will undergo RCM domain training and basic functional/operative training in Billing/AR at the time of joining. Post training, responsible for following up on no response and denied claim as per the process guidelines. Performs work requiring analysis, data maintenance, calling insurance payers, website check and reporting to immediate supervisor.

Looking for AR caller and charge posting specialist with 0 to 7 yrs experience in PondicherryJob Title - Analyst/Specialist/Sr. Specialist - AR Calling - US Healthcare RCMWork Location: PuducherryShift: US Shift (7 PM - 3.30 AM IST).Experience: 0 - 8 yrsResponsible for calling Insurance companies (in US) on behalf of doctors/physicians and follow up on outstanding Accounts Receivable.To prioritize the pending/overdue tasks for calling/working from the aging basket.Should be able to convince the claims company (payers) for reprocessing the claims for payment of their outstanding claims.To check the appropriateness of the demographic/insurance information given by the patient if it is inadequate or unclear.To make a physical call by following the international norms and applicable rules for confidentiality and HIPAA compliance.Escalate difficult collection situations to the teams supervisors in a timely manner.Review provider claims that have not been paid by insurance companies or denied by the insurance companies.Handling patients billing queries and updating their account information.Working on denied claims by taking the appropriate actionPost cash and write off the contractual adjustments accordingly while working on the accounts.Meeting daily/weekly and monthly targets set for an individual.Desired Profile:Should be willing to work in US Shift/Night shift(IST).Experience in Denial Management (Healthcare Revenue Cycle Management) process.Strong written and verbal communication skills.Good computer skills including Microsoft Office suite.Ability to prioritize and manage work queue.Ability to work independently as well as in a team environment.Should be a result oriented person and works towards solving the issues instead of dragging the issues.Strong analytical and problem-solving skills.Good typing skills with a speed of min 30-35 words /min.Role & responsibilitiesPerks and benefits:Cab FacilityDinnerNight Shift Allowance

Looking for AR caller and charge posting specialist with 0 to 7 yrs experience in PondicherryJob Title - Analyst/Specialist/Sr. Specialist - AR Calling - US Healthcare RCMWork Location: PuducherryShift: US Shift (7 PM - 3.30 AM IST).Experience: 0 - 8 yrsResponsible for calling Insurance companies (in US) on behalf of doctors/physicians and follow up on outstanding Accounts Receivable.To prioritize the pending/overdue tasks for calling/working from the aging basket.Should be able to convince the claims company (payers) for reprocessing the claims for payment of their outstanding claims.To check the appropriateness of the demographic/insurance information given by the patient if it is inadequate or unclear.To make a physical call by following the international norms and applicable rules for confidentiality and HIPAA compliance.Escalate difficult collection situations to the teams supervisors in a timely manner.Review provider claims that have not been paid by insurance companies or denied by the insurance companies.Handling patients billing queries and updating their account information.Working on denied claims by taking the appropriate actionPost cash and write off the contractual adjustments accordingly while working on the accounts.Meeting daily/weekly and monthly targets set for an individual.Desired Profile:Should be willing to work in US Shift/Night shift(IST).Experience in Denial Management (Healthcare Revenue Cycle Management) process.Strong written and verbal communication skills.Good computer skills including Microsoft Office suite.Ability to prioritize and manage work queue.Ability to work independently as well as in a team environment.Should be a result oriented person and works towards solving the issues instead of dragging the issues.Strong analytical and problem-solving skills.Good typing skills with a speed of min 30-35 words /min.Role & responsibilitiesPerks and benefits:Cab FacilityDinnerNight Shift Allowance

Associate Analyst: The position is a full-time follow up/analysis/calling Job. The associate will undergo RCM domain training and basic functional/operative training in Billing/AR at the time of joining. Post training, responsible for following up on no response and denied claim as per the process guidelines. Performs work requiring analysis, data maintenance, calling insurance payers, website check and reporting to immediate supervisor.

Looking for AR caller and charge posting specialist with 1 to 7 yrs experience in Pondicherry