Us Medical Billing Specialist

0-5 years

Not Disclosed

Chennai

10 March 13, 2024

Job Description

Job Type: Full Time Education: B.Sc./ M.Sc./ M.Pharm/ B.Pharm Skills: Causality Assessment, Communication Skills, ICSR Case Processing, Interpersonal Skill, Labelling Assessment, MedDRA Coding, Narrative Writing, Technical Skill, Triage of ICSRs, WHO DD Coding

Job description

We have openings for AR Analyst/ Denial Management , AR Caller , Charge & Payment Posting Claims Processing , Data Entry, Eligibility and Benefits Verification, Prior Authorization, Personal Injury , Quality and Process trainer

Walkin after 6.30 pm Monday to Friday
Address: Sage Healthy Global Pvt Ltd

1st Floor,

IIFL Towers,

Perungudi

Denial Management:

- Analyze and resolve claim denials promptly, identifying root causes and implementing corrective actions.
- Collaborate with billing and coding teams to prevent recurring denials and improve overall claims acceptance rates.
Appeals and Resubmissions:

- Prepare and submit appeals for denied claims, providing necessary documentation to support claim reconsideration.
- Monitor the status of appealed claims and take appropriate actions to expedite resolution.
Patient Collections:

- Engage in insurance collections activities, including making follow-up calls, and setting up payment plans.
- Provide clear communication to address inquiries regarding billing and outstanding balances.
Analysis:

- Analysis of generated reports on denial trends, collection activities, and outstanding balances, providing insights for process improvement.

Insurance Verification:

- Thoroughly verify insurance benefits for patients, confirming coverage details, policy status, and any pre-authorization requirements.
Communication with Insurance Payors:

- Establish and maintain communication with insurance payors to resolve discrepancies, obtain necessary information, and ensure accurate billing.
Data Entry and Documentation:

- Enter and maintain accurate patient information and insurance details in the system, ensuring data integrity.
Patient Interaction:

- Communicate insurance-related information to patients, addressing inquiries and providing clarity on coverage and billing matters.
Team Collaboration:

- Collaborate with cross-functional teams, including billing and administrative staff, to facilitate smooth information flow and resolve insurance-related issues.

Role: Medical Biller / Coder

Industry Type: Analytics / KPO / Research

Department: Healthcare & Life Sciences

Employment Type: Full Time, Permanent

Role Category: Health Informatics

Education

UG: Any Graduate

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Us Medical Billing Specialist

Job Description

Job description

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