Job Description

RESPONSIBILITIES:

Act as a liaison between insurers, medical offices, and patients

Handle confidential information and abide by HIPAA laws and other medical policies

Submit claims to insurance companies electronically and via mail

Properly code medical services, diagnosis, treatments, and more

Invoice patients and insurance companies for claims or payments

Track and collect payments, including setting up payment plans for outstanding bills

Correct rejected insurance claims and coding errors

Manage patient insurance claims and payment plans

Submit billing data to the appropriate insurance providers

Sending invoices to patients for remaining balances after insurance payouts

Communicating with insurance company representatives to track payments and confirm patient coverage information

Investigating denied claims and outstanding patient invoices to ensure the provider receives payment

Managing patient payments and updating information over the phone and in person

Balancing sent claims and payments received to record the provider's monthly and quarterly earnings accurately

Generate appeals or reconsideration forms on denied claims utilizing web portals or payor specific forms.

Help develop claim edits that will help increase cash flow and create clean claims.

Follow up on authorizations initiated by the front office staff, when necessary.

Research and provide timely response to patient, insurance and physician inquiries.

Communicate with provider offices to discuss accounts receivable issues, payment or denial trends and make recommendations to impact change.

Run denial and accounts receivable reports to help identify trends.

Ensure to meet the target as mentioned below while maintaining the quality of 97% and above.

Billing - 200 DOS / day

Posting - 500-line item/ day

Rejection or Denial - 70 per day

Provide daily production report to supervisor

Coordinate with internal departments, escalate, and resolve payment issues.

End to end RCM specialist required (Atleast 2 years Payment Posting experience Mandatory)

AR calling experience added advantage.

Job Types: Full-time, Permanent

Pay: ₹20,000.00 - ₹30,000.00 per month

Benefits:

Health insurance Leave encashment Provident Fund
Application Question(s):

How many years of experience do you have in Medical Billing? How many years of experience do you have in Payment Posting? Are you an immediate joiner and Mention your notice period? Where is your current location? What is your current salary and expected salary package? Mention your availability dates for direct interview. You have to come directly to Chennai Tambaram office
Work Location: In person