Freelancer Abhay Ramchandra Shelke
Location
Pune | India
Job description
Job description
Calling the Insurance companies and follow up on the outstanding Accounts Receivables.
Handling more complex/aged inventory.
Ensures assigned accounts are worked towards resolution.
Follow the basic rules as provided on the SOP
Assists in resolution of outstanding issues from earlier transactions.
Expedites calls to the Insurance supervisor when there is a delay in closure of transaction or transaction is crossing the processing timeline as per contract.
Achieve Production (100%) and Quality Target (98%).
Daily Routine:
Pre-shift Briefing
Discussion with TL/Manager on priority of the day
Achieve Production (100%)
Maintain the Quality (98%)
Assisting the Co-workers
Updating Production Tracker
Weekly Routine:
Weekly meeting with TL / Manager
Training (Refreshers)
Monthly Routine:
Meeting on productivity tracking / Quality / Absenteeism
Review of SOP
Quarterly Routine:
Quarterly Performance Review with TL/Manager
Required Qualifications/Skills:
Any Degree and above
1 to 3years of experience in AR Calling
Problem solving skills
Good communication skills
Good knowledge in MS-office
People oriented
Roles and Responsibilities:
To code on medical reports assigning appropriate CPT ICD codes based on the documentation and per the client specification.
Work on medical reports assigning appropriate CPT, ICD and modifiers based on the documentation provided.
Performs assigned tasks/complete targets with speed and accuracy as per client SLAs.
Communication / Issue escalation to seniors if there is any in a timely manner.
Willing to learn and keep self-updated with the latest codes.
Work cohesively in a team setting. Assist team members to achieve shared goals.
Determine the medical necessity based on the provided medical data.
Ability to understand medical history and summarize to a precise abstract.
Support billers and AR analysts.
Document feedback on errors in clinical documentation at a facility and physician-specific levels.
Skills:
Good working knowledge of Anatomy and Physiology as well as Medical Terminology determine basic treatment protocols.
Advanced knowledge of CMS/MAC guidance, Coding Skills, ICD-10-CM and CPT.
Any Certified Medical Coder (CPC, COC, CIC, CCS), who have min 1 year of experience in Workers Compensations Claims. (Physical Therapy, Chiro, Physiotherapist, Acupuncture)
Understand the causes of claim denials and continually improve coding standards.
Experience in using electronic medical records applications (Knowledge of PrognoCIS, Daisy Bill will be preferred)
Working knowledge of HIPAA regulations, medical codes, and billing terminology.
Excellent interpersonal skills and good oral and written communication skills
Must have a good working knowledge of Microsoft Office.
Any Graduate in Any Specialization
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