Account Receivable

C5 Health; Mumbai; Sur place; INR 300 000 - 420 000; Plein temps

Résumé du poste

C5 Health in Mumbai is seeking an Insurance Follow-Up Specialist to manage outstanding payments with insurance companies, perform direct calls, IVR interactions, and appeals to resolve claims.

You will review patient accounts and billing details, investigate denials or delays, and ensure postings and claim information are accurate and complete.

This role requires clear communication, attention to detail, and the ability to work with multiple stakeholders to improve cash flow.

Qualifications

• Experience in health insurance claims follow-up.
• Ability to communicate with insurance providers via calls, IVR, and written appeals.
• Strong attention to detail for payment postings and claim data.

Responsabilités

• Proactively follow up with insurance companies to resolve outstanding claims and payments.
• Handle communication with insurers through outbound calls, IVR, and written appeals.
• Investigate claim denials, underpayments, and delays, and take action to resolve them.
• Ensure accuracy and completeness of all payment postings and claim details.

Connaissances

Insurance follow-up

Outbound calls

IVR navigation

Billing accuracy

Description du poste

• Job Description:
• Follow-up with insurance companies for outstanding payments
• Communicate with insurance companies via direct calls, IVRs, and appeals
• Ensure accuracy of payments
• Review patient accounts and bill balances with the responsible party.

• Key Responsibilities:
• Proactively follow up with insurance companies to resolve outstanding claims and pending payments
• Handle communication with insurance providers through outbound calls, IVR systems, and written appeals
• Investigate claim denials, underpayments, and delays, and take appropriate action to resolve them
• Ensure accuracy and completeness of all payment postings and claim details
• Review patient accounts, billing information, and balances to identify discrepancies.