Integrity Healthcare Solutions Pvt Ltd
Location
Ahmedabad | India
Job description
We are a cross continent IT enabled services company providing a wide range of services to doctors, physician groups and other treatment facilities in the United States. Our services include Revenue Cycle Management (RCM), custom and tailored virtual assistant services for front desk tasks, eligibility verifications, prior authorizations, and reselling and implementation of a fully integrated Electronic Medical Record (EMR) software along with customised software solutions. Our global delivery locations currently operate out of 4 countries.
About Job Role:
- Analyse outstanding, unpaid, denied, and underpaid health claims.Â
- Follow up with various insurance companies for the above.Â
- Ensure that all corrective actions are taken and efforts are focused toward getting the claim resolved.
- Use various communication channels, including phone calls and written correspondence, to resolve outstanding issues.
- Investigate and address claim denials promptly.
- Determine the reasons for denials and take corrective actions to reprocess or appeal denied claims.
- Communicate effectively with insurance representatives to resolve claim issues and obtain information.
- Establish and maintain positive relationships with insurance companies to facilitate smoother claims processing.
- Communicate with patients regarding their account balances, explaining any insurance-related matters or financial responsibilities.
- Assist patients with questions related to billing and insurance.
- Follow the organisation's policies, procedures, and compliance standards.
- Stay informed about changes in healthcare regulations that may impact billing practices.
Required Skill Sets:
- Graduate in any discipline
- Fluent verbal communication abilities.
- Willing to work in night shift (US east coast shift).
- Good problem solving skills
Compensation:
- As per Industry standards
Job tags
Salary
