Account Receivable- Executive

ESP Engineered; Ahmedabad District; On-site; INR 334,800 - 558,000; Full time

Job summary

ESP Engineered is seeking a qualified individual for medical claims processing located in Ahmedabad, Gujarat. The role involves preparing medical claims, ensuring documentation is accurate, and following up on claims with insurance companies.

The ideal candidate should possess a strong understanding of Revenue Cycle Management and be willing to work US shifts. Good communication skills and prior calling experience will be advantageous in this role.

Qualifications

• Experience in medical claim processing and billing.
• Ability to work nights and adapt to US shifts.

Responsibilities

• Prepare and submit medical claims to insurance companies.
• Follow up on unpaid or underpaid claims.
• Communicate effectively with insurance representatives.

Skills

Prior calling experience

Understanding of Revenue Cycle Management

Communication skills

Job description

Responsibilities

• Prepare and submit medical claims to insurance companies accurately and in a timely manner.
• Ensure that all required documentation, such as medical records and invoices, is attached to support the claims.
• Regularly follow up on unpaid or underpaid claims with insurance companies.
• Use various communication channels, including phone calls and written correspondence, to resolve outstanding issues.
• Investigate and address claim denials promptly.
• Determine the reasons for denials and take corrective actions to reprocess or appeal.
• Communicate effectively with insurance representatives to resolve claim issues and obtain information.
• Establish and maintain positive relationships with insurance companies to facilitate smoother claims processing.
• Communicate with patients regarding their account balances, explaining any insurance-related matters or financial responsibilities.
• Assist patients with questions related to billing and insurance.
• Follow the organisation's policies, procedures, and compliance standards.
• Stay informed about changes in healthcare regulations that may impact billing practices.

Required Skilled Sets

• Prior calling experience would be an added advantage.
• Willing to work in night shift (US shift)
• Good understanding of the overall Revenue Cycle Management to effectively