trüHealthNow
Location
Sahibzada Ajit Singh Nagar | India
Job description
To apply for this job, open the below link and take the survey, as it is mandatory to fill out.
Shift: Flexible (day and night can be as per business requirements)
Responsibility:
1. Responsible for calling Insurance companies (in US) on behalf of doctors/physicians and follow up on outstanding Accounts Receivable.
2. To prioritize the pending claims for calling from the aging basket.
3. Should be able to convince the claims company (payers) for payment of their outstanding claims.
4. To check the appropriateness of the insurance information given by the patient if it is inadequate or unclear.
5. To make a physical call by following the international norms and applicable rules for confidentiality and HIPAA compliance.
6. Escalate difficult collection situations to management promptly.
7. Post cash and write off the contractual adjustments accordingly while working on the accounts.
8. Meeting daily/weekly and monthly targets set for an individual.
9. Oversees the operations of the billing department, encompassing medical coding, charge entry, claims submissions, payment posting, accounts receivable follow-up, and reimbursement management.
10. Analyze billing and claims for accuracy and completeness; submit claims to proper insurance entities and follow up on any issues.
11. Prepares and analyzes accounts receivable reports, and weekly and monthly financial reports in concert with the Practice Administrator and Business Manager.
Requirements:
1. Candidate should know Medicare, Medicaid & ICD & CPT codes.
2. Understand Revenue Cycle Management of US Health Care.
3. Good Knowledge on Denials and immediate action to resolve them.
4. Must have strong analytical, reasoning, organizational and management skills
Job tags
Salary
