Job Description

  • Industry Type: RCM / US Healthcare

Location: Navi Mumbai (Ghansoli)

Division: Revenue Cycle Management (RCM)

Job Responsibilities

  • Perform pre-call analysis and check status by calling the payer or using IVR or web portal services.
  • Maintain adequate documentation on the client software to send 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 customer enquiries 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 the clients systems, interpret the explanation of benefits received, etc. prior to making the call.
  • Perform analysis of accounts receivable data and understand the reasons for underpayment, days in AR, and top denial reasons; use appropriate codes to be used in documentation of the reasons for denials/underpayments.

Requirements

  • HSC/bachelor’s degree in any discipline.
  • Good communication and analytical skills.
  • Strong knowledge of medical billing concepts.
  • Ready to work in night shifts.

Education: HSC/Graduate (Any stream).

Employment Type: Full Time, Permanent. Night shift.

Perks and benefits: Home Drop Facility, Free Dinner Facility, 5 days working (Monday to Friday), and performance-based incentives.


Job Details

Role Level: Mid-Level Work Type: Full-Time
Country: India City: Navi Mumbai ,Maharashtra
Company Website: https://triarqhealth.com/ Job Function: Administrative Support
Company Industry/
Sector:
IT Services and IT Consulting

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