Job Description

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
Job Requirements

Experienced candidates need to meet the following qualification criteria to be considered:

AR calling knowledge in Hospital Billing, Veteran or Workmen compensation

Willingness to work continuously in night shifts (Free transportation provided)

Basic working knowledge of computers

Fluent verbal communication abilities

Strong experience in Denial Management
QUALIFICATIONS

Minimum 1 year of experience in accounts receivable follow-up for US healthcare

Prior call center expertise is added advantage

Prior experience of working in a medical billing company and the 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