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Job descriptionRole & responsibilities Calling US insurance companies to analyze the claims, check and update the claim status. Capable of capturing denials. Appeal to Insurances for pending claims.Preferred candidate profile Excellent written/verbal communication & presentation skills. Good interpersonal skills & a good team player. Graduates from Commerce, Healthcare & Science stream only. BTech, BCA & MBA are not eligible for this role. Willing to work in the night shifts Shift Timings: 6:30pm-3:30amPerks & Benefits Monthly CTC- Rs 20,925 (Revision in salary post OGT training) Fixed Saturday and Sunday off 1 time meal at 495/ per month Both Side free pick and drop cabs in Noida, Greater Noida, East Delhi (Hiring Zone Only

Job Description - AR Caller / AR Followup1. Focus on Rejections, denials management and unpaid claims. 2. Responsible for managing primary/secondary/tertiary claims aging reports3. Communicate directly with insurance payers to resolve claims issues.4. Create and file appeals as necessary5. Check the correct status of AR follows up denials/ payments by directly calling insurance companies.6. Verify the reason for denial or delay in payment of claim and to identify what all steps need to be taken.7. Effectively communicates coding/billing issues which are causing denials to Charge Entry team and Accounts Manager8. Responsible for the account coordinator to implement back up coverage and assignment of files when out of the office.

Non - Tech Support - Voice / Blended Perform pre-call analysis and check the status by calling the payer or using IVR or web portal services Maintain adequate documentation on the client software to send the 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 inquiries, requests, and complaints through calling to ensure those customer inquiries are resolved at the first point of contact Provide accurate product service information to the 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: 1-4 Years experience in accounts receivable follow-up/denial management for US healthcare customers Fluent verbal communication abilities/call center expertise Knowledge of 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. Access Healthcare 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

Job Description - AR Caller / AR Followup1. Focus on Rejections, denials management and unpaid claims. 2. Responsible for managing primary/secondary/tertiary claims aging reports3. Communicate directly with insurance payers to resolve claims issues.4. Create and file appeals as necessary5. Check the correct status of AR follows up denials/ payments by directly calling insurance companies.6. Verify the reason for denial or delay in payment of claim and to identify what all steps need to be taken.7. Effectively communicates coding/billing issues which are causing denials to Charge Entry team and Accounts Manager8. Responsible for the account coordinator to implement back up coverage and assignment of files when out of the office.