Responsibilities:
Understand Revenue Cycle Management (RCM) of US Healthcare Providers
Good knowledge of Denials and Immediate action to resolve them
Follow up with insurance carriers to check the status of outstanding claims
Analyze claims in case of rejections.
Initiate calls to insurance companies for claim resolution and follow-up.
Address patient inquiries regarding billing issues and provide clear explanations.
Collaborate with internal teams to resolve discrepancies and expedite claims processing.
Maintain detailed records of interactions and claim statuses for accurate reporting.
Adhere to industry regulations and compliance standards in all communication and documentation.
Skills:
Understanding of medical billing codes, insurance processes, and claim adjudication.
Strong communication skills for effective interaction with insurance companies and patients.
Attention to detail and accuracy in navigating complex billing and coding systems.
Adaptability to evolving industry regulations and technological advancements.