associate

Jain International Trade Organisation - India; Hyderabad; On-site; INR 300,000 - 500,000; Full time

Job summary

Jain International Trade Organisation - India is seeking an Entry-Level Professional for claims management in Hyderabad. Responsibilities include analyzing claims, resolving denials, and ensuring compliance with billing standards.

The ideal candidate will promptly address unpaid claims with insurance companies and maintain accurate documentation in the billing software. This full-time permanent position offers an opportunity to grow in the field.

Qualifications

• Entry-level position involving claims management and denial resolutions.
• Strong analytical skills to analyze and research claims.
• Familiarity with billing software and HIPAA compliance.

Responsibilities

• Follow up with insurance companies on unpaid or denied claims.
• Check claim status and resolve payment issues.
• Handle denials, rejections, and appeals.
• Update claim details in billing software.
• Work on outstanding accounts receivable (AR) balances.

Skills

Claims analysis

Denial resolution

Account adjustments

Insurance compliance

Report preparation

Job description

Purview Healthcare • Hyderabad • Posted 1 day ago • Updated 1 day ago

Job Type: FullTimePermanent

Work Mode: Onsite

Experience: EntryLevel

Travel Requirements:

Skills:

• Analyzes and researches denials and follows-up with the appropriate payor, practice, and/or patient to resolve denial. Provides missing or additional information if necessary, to expedite the resolution of the denied claim.
• Performs all appeals and denial recovery procedures, which are needed to accurately resolve denied claims.
• Processes required adjustments to accounts, including charges credits, payment transfers, policy adjustments, etc. in a timely and accurate manner.
• Maintains a thorough knowledge and understanding of all assigned payor contracts and requirements.
• Performs research to ensure current policies, applicable coding and insurance guidelines, regulations are being followed.
• Prepares accurate and timely reports of trends and problems as they are identified. Communicates such trends to management in a timely manner.
• Completes work accurately and timely with appropriate documentation.
• Ensures that all activities related to Account Receivable & denials management functions meet department requirements, maximize revenue collection, and achieve leading practice levels of performance.
• Consistently meets productivity and quality standards established by management, recommending new approaches for enhancing performance and productivity.

Responsibilities

• Follow up with insurance companies on unpaid or denied claims
• Check claim status and resolve payment issues
• Handle denials, rejections, and appeals
• Update claim details in billing software
• Work on outstanding accounts receivable (AR) balances
• Verify payments and identify underpayments
• Maintain productivity and quality targets
• Ensure HIPAA and billing compliance