Ad in: Chennai, India - Medical Jobs
AR Caller The RCM Business's Future Path - Price: Rs. 0
Ad # 989236
AR Caller The RCM Business's Future Path
Job Description
Duties:
Insurance Follow-up: To find out the current status and speed up payment, proactively contact insurance providers about unresolved or rejected claims.
Denial Management: Examine "Electronic Remittance Advice" and "Explanation of Benefits" to determine the underlying reasons for denials.
Resolution of Claims: Immediately address rejected claims by adding missing modifiers, fixing demographic inaccuracies, or resubmitting updated claims.
Appeal Coordination: Write and deliver official appeal letters, along with the required medical records, to insurance companies in situations where claims were wrongfully rejected.
Payer Communication: To confirm patient eligibility, benefits, and claim processing guidelines, use Interactive Voice Response (IVR) systems to converse with insurance agents.
Workflow Documentation: Keep thorough records of all communications with insurance companies, including call reference numbers and anticipated payment dates, in the billing system or CRM.
Focus Skills:
Persuasive Communication: Strong verbal communication abilities and the capacity to successfully bargain with insurance adjusters.
RCM Knowledge: Thorough comprehension of the US healthcare system, including Medicare, Medicaid, PPO, and HMO plans.
Analytical Thinking: The capacity to decipher intricate insurance policies and medical billing codes in order to resolve payment disputes.
Persistence: A high degree of fortitude and tolerance to deal with lengthy wait times and monotonous follow-up duties.
Technical literacy includes knowledge of various payer online portals and proficiency with MS Office and medical billing applications.
Apply now to become an integral part of our growing team!
With Regards,
HR - Maria
88708 33430
infohrmaria04@gmail.com
Your message has been sent
Job Description
Duties:
Insurance Follow-up: To find out the current status and speed up payment, proactively contact insurance providers about unresolved or rejected claims.
Denial Management: Examine "Electronic Remittance Advice" and "Explanation of Benefits" to determine the underlying reasons for denials.
Resolution of Claims: Immediately address rejected claims by adding missing modifiers, fixing demographic inaccuracies, or resubmitting updated claims.
Appeal Coordination: Write and deliver official appeal letters, along with the required medical records, to insurance companies in situations where claims were wrongfully rejected.
Payer Communication: To confirm patient eligibility, benefits, and claim processing guidelines, use Interactive Voice Response (IVR) systems to converse with insurance agents.
Workflow Documentation: Keep thorough records of all communications with insurance companies, including call reference numbers and anticipated payment dates, in the billing system or CRM.
Focus Skills:
Persuasive Communication: Strong verbal communication abilities and the capacity to successfully bargain with insurance adjusters.
RCM Knowledge: Thorough comprehension of the US healthcare system, including Medicare, Medicaid, PPO, and HMO plans.
Analytical Thinking: The capacity to decipher intricate insurance policies and medical billing codes in order to resolve payment disputes.
Persistence: A high degree of fortitude and tolerance to deal with lengthy wait times and monotonous follow-up duties.
Technical literacy includes knowledge of various payer online portals and proficiency with MS Office and medical billing applications.
Apply now to become an integral part of our growing team!
With Regards,
HR - Maria
88708 33430
infohrmaria04@gmail.com
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