Senior Executive - RCM Services Job in Noida at CorroHealth

Responsibilities of the Candidate:

• 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 aftercall actions and perform post call analysis for the claim follow-up
• Provide accurate product/ service information to 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.
• Perform analysis of accounts receivable data and understand the reasons for underpayment, days in A/R, top denial reasons, use appropriate codes to be used in documentation of the reasons for denials / underpayments
• Prepare, review, and transmit claims using AR software, including electronic and paper claim processing
• Review patient bills for accuracy and completeness and obtain any missing information

Requirements:

• Any graduation
• 2 to 4 years of Years of experience in accounts receivable follow-up / denial management for US healthcare customers
• Proficient computer skills. Excellent communication skills, both verbal and written
• Strong people skills & Outstanding organizational skills
• Ability to maintain the confidentiality of information
• Willingness to work continuously in night shifts