01Overview
Company Description
Quantazone is a leading consulting and qualified services organization. We are the trusted partner to enterprises and organizations worldwide, delivering technology-enabled solutions for extraordinary outcomes in quality and cost
Job Description
Review the provider's claims that the insurance companies have not paid.
Follow-up with Insurance companies to understand the claim's status - 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 daily.
Improve skills in CPT codes and DX Codes. Make collections with a convincing approach.
Positive understanding of the US Healthcare revenue cycle and its intricacies
Shift Timing: Night shift (US Shift) (5.30 PM 2.30 AM IST)
Shift Days: Monday - Friday
Salary: Upto 28K CTC {Including Night Shift Allowance}
Qualifications
Any Graduate can apply
Minimum 1 year experience in the related field
Additional Information
Valuable communication skills and a fair command of the English language
Experienced in AR Follow-up and Denials Management
Excellent analytical and comprehension skills .
