Accounts Receivable - Hospital Billing

GetixHealth, LLC; Bengaluru; On-site; INR 400,000 - 600,000; Full time

Job summary

GetixHealth, LLC is seeking candidates in Bengaluru, India, to manage claim tracking and denial management processes. The role involves monitoring unpaid claims, communicating with insurance companies, preparing appeals, and managing patient collections. Attention to detail and organizational skills are essential for maintaining accurate documentation of all interactions. If you have experience in healthcare claims or billing, we invite you to apply.

Responsibilities

• Monitor aging reports and work queues to identify unpaid invoices or claims.
• Contact insurance companies or clients to verify claim status.
• Investigate rejected claims and identify root causes.
• Prepare and submit technical appeals for denied claims.
• Reach out to patients to explain their responsibility and establish payment plans.
• Maintain accurate records of all interactions for future audits.

Job description

• Claim Tracking: Monitor aging reports and work queues to identify unpaid invoices or claims past 30, 60, or 90 days.
• Payer Communication: Contact insurance companies or clients via phone, email, and online portals to verify claim status and reasons for payment delays.
• Denial Management: Investigate rejected claims, identify root causes (e.g., coding errors, missing information), and resubmit corrected claims.
• Appeals Processing: Prepare and submit technical appeals for denied or underpaid claims based on specific payer guidelines.
• Patient Collections: When insurance does not cover the full balance, reach out to patients to explain their responsibility and establish payment plans.
• Detailed Documentation: Maintain accurate records of all interactions, including contact names, dates, and account notes for future audits