Overview
1. Accounts Receivables Follow up and Denied claims resolutions calling US Health Insurance companies.
2. Minimum 45 Denials per day/ OR 65 A/R Last remarks calls.
3. Candidates having some work experience in USA Healthcare Insurance & Medical Billing Industry (PROVIDER SIDE) and who have worked in AR, DENIALS & VERIFICATION OF ELIGIBILITY & BENEFITS.
4. Calling US Health Insurance companies for Accounts Receivables Follow up and Analysis work.
5. Candidates should be able to work on LAST REMARKS Claims follow up as well as basic Denials management.
6. Experience in verifying insurance coverage for the patients, from all Primary and Secondary Payers by utilizing Payer websites, Automated voice responses and Phone calls to Payers to verify if the patient has active or inactive coverage.
7. Prerequisite knowledge of Pre-Certifications and Authorization
8. Develop a recovery system and initiate collection efforts
9. Communicate with customers via phone, email, mail or personally
10. Knowledge of accounts receivable
11. Attention to detail and accuracy
12. Good verbal and written communication skills
13. Carry out billing and reporting activities according to specific deadlines
14. Monitor customer account details for non-payments, delayed payments and other irregularities
15. Research and resolve payment discrepancies
16. Investigate and resolve customer queries
All the best! - 
