Role: Fresher - RCM AR Caller and Analyst
Location: work from home
JOB DESCRIPTION:
- Perform pre-call analysis and check the status by calling the payer or using IVR or web portal services
- Initiate telephone calls to insurance companies requesting the status of claims for the outstanding balances on patient accounts and taking appropriate actions.
- Maintain adequate documentation on the Vericle 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 that inquiries are resolved at the first point of contact
- Perform analysis of accounts receivable data and understand the reasons for underpayment, days in A/R, top denial reasons, and use appropriate codes to be used in documentation of the reasons for denials/underpayments
- Manage A/R accounts by ensuring accurate and timely follow-up.
- Ensure that the deliverable to the client adheres to the quality standards.
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Education Required:
12th pass
diploma
any degree
skills
- Minimum 0-6 months of work experience in any BPO
- A brief understanding of the entire Medical Billing Cycle.
- Must possess excellent communication skills with a neutral accent.
- Must be flexible and should have a positive attitude towards work.
- Must be willing to work in Night Shifts.
MUST HAVE:
- High comfort level working on the Eastern Time Zone/US Shift
- Excellent and undisturbed broadband internet access at home
- Backup internet such as Mobile Hotspot
- Laptop/Desktop with good hardware configuration with at least 8 GB of RAM
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