US Voice Process - Hospital Billing AR Callers

Medical Billing Unlimited | A Coronis Health Company; Hyderabad; On-site; INR 279,000 - 390,600; Full time

Job summary

A healthcare service provider in Chennai is seeking a Test - Voice Process professional for an entry level role. Responsibilities include performing pre-call analysis, maintaining documentation for insurance claims, and resolving customer enquiries. The ideal candidate should have strong communication skills and the ability to analyze accounts receivable data. This full-time position supports the healthcare sector's operational needs.

Qualifications

• Entry level role requiring strong communication skills.
• Ability to perform analysis and maintain accurate documentation.
• Knowledge of healthcare processes and terminology preferred.

Responsibilities

• Perform pre-call analysis and check payer status.
• Maintain documentation for insurance companies.
• Record after-call actions and analyze claims.
• Resolve customer enquiries efficiently.
• Provide accurate product information.
• Analyze accounts receivable data.
• Work on daily assigned accounts.
• Escalate difficult situations to Team Leaders.

Job description

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About Us Coronis Ajuba stands as a premier global provider of business process outsourcing solutions to healthcare organizations in the U.S. The organization partners with hospitals, health networks, physicians practices, and related industry service organizations to provide a broad portfolio of customizable RCM solutions, uncover and capitalize on hidden financial opportunities, improve productivity and, ultimately, increase profits.

Job Description

Roles and Responsibilities

• Perform pre-call analysis and check status by calling the payer or using IVR or web portal services.
• Maintain adequate documentation on the client software to send necessary documentation to insurance companies and maintain a clear audit trail for future reference.
• Record after-call actions and perform post call analysis for the claim follow-up.
• Assess and resolve enquiries, requests and complaints through calling to ensure that customer enquiries are resolved at first point of contact.
• Provide accurate product/ service information to customer, research available documentation including authorization, nursing notes, medical documentation on client's systems, interpret explanation of benefits received etc prior to making the call.
• Perform analysis of accounts receivable data and understand the reasons for underpayment, days in A/R, top denial reasons, use appropriate codes to be used in documentation of the reasons for denials / underpayments.
• Ensuring the daily assigned accounts are resolved/ worked on.
• Escalate difficult collection situations to Team Leaders and seek education and instruction.

Seniority level : Entry level

Employment type : Full-time

Job function : Quality Assurance

Industries : Hospitals and Health Care