AR Insurance Claim Specialist – Good Methods Software Solutions

0-1 Years1 - 3 YearsBPO/ ITES

Brief description :

  • Responsible for calling Insurance companies (in the US) on behalf of doctors/physicians and following up on outstanding Accounts Receivable.
  • Perform pre-call analysis and check the status by calling the payer or using IVR or web portal services
  • Review provider claims that have not been paid by insurance companies.
  • Assess and resolve inquiries, requests, and complaints through calling to ensure that customer inquiry are resolved at the first point of contact
  • 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

Preferred skills

  • Should have at least 6 month’s experience in AR calling.
  • Excellent English communication abilities with good Analytical and Logical Reasoning skills.
  • Should have an eye for detail and be passionate about learning.
  • Candidates must be able to work with a high volume of work while paying attention to detail and maintain high-Quality Levels.
  • Graduation or Diploma or equivalent Qualification preferred

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