JD for AR caller
o Calls insurance to confirm receipt of claim
o Calls insurance to request claim be adjudicated
o Following up on the claims send for adjudication.
o Gathers all required appeal information for denied cases to assist in drafting the appeal
o Updates information in practice management software: Billing notes and status.
o Request client if additional medical records are needed.
o Confirms payment details if claim was paid, including payment details, date and set’s follow up task
o To maintain daily productivity report.
o To draw OCR (Open Claim Report) from the system
o To prioritize the pending claims for calling from the aging basket
o To schedule the calls as prioritized to US carries and patients by considering the time zone difference in IST and US time-zone applicable
o To make a physical call by following the international norms and applicable rules for confidentiality and HIPAA compliance
o To report the outcome of the call in the appropriate system and to advise the team in data-team in RCM for corrective action.


Qualification: Graduate/Under Graduate (HSC-Diploma)
Willing to work in night shift (6pm to 3 am)
Shift Timings: US shift.
Job Location: Mumbai
Transport: Home Drop Facility

Skills:
Good organization skills demonstrating the ability to execute timely follow-up.
Good Oral & Written Communication skills.
Excellent spoken English skills and better accent without MTI
Awareness of US Healthcare Industry and RCM
Excellent analytical skills with understanding of health care claims processing.
MS Word and MS Excel and excellent voice culture.