The RCM Business's Potential Path for AR Callers - Price: Rs. 0

The RCM Business's Potential Path for AR Callers
Job Description:
Responsibilities:
Insurance Follow-up: Make outgoing calls to insurance companies (such as Blue Cross, Medicare, and Aetna) to find out how pending claims are progressing and to get payment information.
Denial Management: Examine denials and rejections of claims and take remedial measures, like filing appeals or resubmitting amended claims.
AR Analysis: Examine aging reports to find expensive, outdated claims that need to be addressed right now to stop revenue loss.
Patient & Provider Coordination: When more information is needed, such as updated insurance cards, COB details, or clinical paperwork, get in touch with patients or provider offices.
Payment Posting & Adjustment: Check to see if payments have been posted accurately and note any "Takebacks" or "Contractual Adjustments" that require attention.
Documentation: Keep thorough records in the Revenue Cycle Management (RCM) system, describing each encounter with insurance agents and the subsequent actions taken to resolve the issue.
Compliance: Make sure that all calls and data handling procedures closely follow HIPAA rules pertaining to data security and patient privacy.
KPI Adherence: Achieve daily and monthly goals for "Resolution Rate," "Call Volume," and "Collections."

Experience: 0 to 3 yrs
Education: Any Basic Degree

If Interested Please do Send your CV along with you Informations as below to “infohrmaria04@gmail.com”

Full Name:
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Candidate Category: Fresher / Experienced
Willingness to Relocate: Yes / No

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Warm regards,
HR- Maria
88708 33430