01Overview
Company Description
Quantazone is a leading consulting and professional 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.
- Valuable 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
- Good communication skills and a fair command of the English language
- Experienced in AR Follow-up and Denials Management
- Excellent analytical and comprehension skills .
