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01/10 Poojal Soni
Associate Consultant at Quantazone

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Accounts Receivable Caller (1-5 yrs)

Pune Job Code: 346500

Accounts Receivable Caller (US Healthcare)


Roles and Responsibilities :

- Review provider's claims that the insurance companies have not paid

- Follow-up with Insurance companies to understand the status of the claim - Initiate telephone calls or verify through payer websites or otherwise request the required information from insurance companies. Contact insurance companies for further explanation of denials and underpayments and where needed, prepare appeal packets for submission to payers

- Based on the responses/findings, make the necessary corrections to the claim, and re-submit/ refile as the case may be

- Document actions taken into the claims billing system

- Meet the established performance standards on a daily basis

- Improve skills in CPT codes and DX Codes. Make collections with a convincing approach.

- Preferred Skills, Education, and Experience:

- Any Graduate

- Good communication skills and a fair command of the English language

- Experienced in AR Follow-up and Denials Management

- Good understanding of the US Healthcare revenue cycle and its intricacies

- Excellent analytical and comprehension skills

- Employment Mode : Full-time

- Shift Timing : Night shift (US Shift) (5.30 PM - 2.30 AM IST)

- Shift days : 5 days working

- Salary : Based on experience and skills

Additional Benefits :

1. Monthly Food Coupon - Worth Rs.900 per month (10000 PA), can be used in office canteen.

2. Night Shift allowances - Rs.50 per day (Based on the attendance) (15000 PA)

3. Good Incentive plans - Can earn up to double the salary

4. Free Two-way cab facilities (25Kms radius of the office location)

5. Insurance courage of 1 Lakh (Self, spouse and 2 children's)

6. All statutory benefits are applied (PF, ESIC, PT Etc.)

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