01Overview
Perform outbound calls to insurance companies, healthcare providers, and TPAs to follow up on pending or denied claims.
Handle accounts receivable (AR) activities in the Provider Side Vertical or Payer Collections process.
Review and analyze outstanding claims, identify issues, and take appropriate action to ensure timely payment.
Accurately document all call interactions and claim statuses in the system.
Resolve claim rejections, denials, and payment discrepancies by coordinating with insurance representatives and internal teams.
Maintain productivity and quality standards as per company and client requirements.
Provide clear communication and updates on claim progress to management.
Ensure compliance with HIPAA and organizational policies during all communications.
Exhibit flexibility and a proactive approach in handling multiple tasks and priorities .
