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Job Location | Gurugram |
Education | Not Mentioned |
Salary | Rs 1.0 - 3.0 Lakh/Yr |
Industry | IT - Software |
Functional Area | Customer Service (Domestic) |
EmploymentType | Full-time |
Responsible for the timely submission of technical or professional medical claims to insurance companies.Check eligibility and benefit verification.Review patient bills for accuracy and completeness and obtain any missing information.Prepare, review, and transmit claims using billing software, including electronic and paper claim processing.Knowledge of insurance guidelines, including HMO/PPO, Medicare, and state Medicaid.Follow up on unpaid claims within standard billing cycle timeframe.Check each insurance payment for accuracy and compliance with contract discount.Call insurance companies regarding any discrepancy in payments if necessary.Identify and bill secondary or tertiary insurances.All accounts are to be reviewed for insurance or patient follow-up.Research and appeal denied claims.Answer all patient or insurance telephone inquiries pertaining to assigned accounts.Knowledge, Skills, and Abilities:Effective communication abilities for phone contacts with insurance payers to resolve issuesUse of computer systems.Customer service skills for interacting with patients regarding medical claims and payments, including communicating with patients and family members of diverse ages and backgrounds.Able to work in a team environment.Problem-solving skills to research and resolve discrepancies, denials, appeals, collections.
Keyskills :
targetcommunicationgoodrientedcallsenergeticcomputerknowledgeskillsableattitudepositive