Ar Calling - Cmmi Level 5 Co. -pune @ R Systems

Job Description

Role & responsibilities

• Claims Management: Follow up on outstanding claims to reduce the accounts receivable (AR) days and resolve claim issues in a timely manner.
• Denial Management: Handle denials by understanding the root cause, correcting errors, and re-submitting claims for processing.
• Communication: Effectively communicate with insurance companies, healthcare providers, and other stakeholders regarding claims status, denials, appeals, and payment discrepancies.
• Account Follow-up: Monitor and review AR aging reports to identify and prioritize unpaid claims for follow-up.
• Documentation: Maintain accurate records of communications, actions taken, and status updates on patient accounts using company software systems.
• Compliance: Ensure adherence to HIPAA guidelines and US healthcare regulations during all interactions and processes.
• Reporting: Prepare and submit daily/weekly/monthly reports to management on claims status, denials, and collections achieved.

Interview mode: Virtual

Looking for Immediate Joiner.

Perks and benefits:

Both Side Cabs

Gratuity

Mediclaim

PF

5 Days Working

Note: This is Work from Office Job, Office Location will be SEZ Noida

Kindly share resume on bh***********a@rs*****s.com or ping at 8595575*** for more details.

Regards,

Bhawana

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Rs 0 - 50K PM Rs 50K - 1 LPA Rs 1.0 - 1.5 LPA Rs 1.5 - 2.0 LPA Rs 2.0 - 2.5 LPA Rs 2.5 - 3.0 LPA Rs 3.0 - 3.5 LPA Rs 3.5 - 4.0 LPA Rs 4.0 - 4.5 LPA Rs 4.5 - 5.0 LPA Rs 5 - 6 LPA Rs 6 - 7 LPA Rs 7 - 8 LPA Rs 8 - 9 LPA Rs 9 - 10 LPA Rs 10 - 12 LPA Rs 12 - 14 LPA Rs 14 - 16 LPA Rs 16 - 18 LPA Rs 18 - 20 LPA Rs 20 - 22 LPA Rs 22 - 24 LPA Rs 24 - 26 LPA Rs 26 - 28 LPA Rs 28 - 30 LPA Rs 30 - 32 LPA Rs 32 - 34 LPA Rs 34 - 36 LPA Rs 36 - 38 LPA Rs 38 - 40 LPA Rs 40 - 42 LPA Rs 42 - 44 LPA Rs 44 - 46 LPA Rs 46 - 48 LPA Rs 48 - 50 LPA Rs 50 - 75 LPA Rs 75 Lakh - 1C PA Rs 1 Crore+ PA

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Keyskills:   Accounts Receivable Claims Management US Healthcare