01Overview
EXPERIENCE ON RADIOLOGY, INTERVENTIONAL PAIN MANAGEMENT/WORKERS COMP IS PREFERRED.
Hiring multiple positions in AR Callers for medical billing in US health Care Domain.
Position 1: AR Caller
- At least 1 to 2 years of experience in Account Receivables.
- Good Knowledge in Denial Management and Rejections.
- Analyze claims in case of rejections.
- Discover root causes for medical insurance claim denial, underpayment, or delay and propose resolutions.
- Interact with the insurance rep to follow-up on unpaid claims, delayed processing, and underpayment.
- Calling Insurances on claims resolutions and handling the denials for a closure
- Prioritize unpaid claims for calling according to the length of time it has been outstanding
- Plan and execute medical insurance claim denial appeal process
Qualifications:
- Excellent verbal and written communication skills
- Valuable analytical & resolution skills preferred.
- Candidate should be willing to work in Night shift
- Strong reporting skills
- Should be thorough with all AR Cycles and AR Scenarios.
- Should have worked on appeals, refiling and denial management.
- Meet Quality and productivity standards.
Position 1: Prior Authorization Executive- Voice Process.
- Verifies insurance eligibility and benefit levels to ensure adequate coverage for identified services prior to receipt, patients cost estimation calculation.
- Review and process pre-authorization requests for medical services, procedures, and treatments according to established guidelines and procedures
- Get prior authorization approval from insurance firms and nurse managers
- Appeal insurance companies after prior authorization refusals.
- Get prior authorization approval from insurance firms and nurse managers.
- Document account activity using correct medical and billing codes.
- At least 1 year of experience in obtaining prior authorization.
- Interact with the insurance rep to follow-up on appealed authorizations.
- Calling Insurances on claims resolutions and handling the denials for a closure
Qualifications:
- Good organizational skills to implement timely follow-up
- Excellent verbal and written communication skills
- Strong reporting skills
- Ensure accurate & timely follow up where required.
EXPERIENCE IN INTERVENTIONAL PAIN MANAGEMENT AND ORTHOPEDICS IS PREFERABLE
Interested candidates can share their updated resume with below details to
* ONLY MALE CANDIDATES
Contact: Mr. Naveen- 9281471911 .
