Entry Level, Day Analysis

Coronis Ajuba

Chennai, Tamil Nadu, IndiaFresher1d agovia LinkedIn

Trainee - Medical Billing

Job Summary

Maximize client reimbursement through accurate and timely entry and processing of reports in accordance with client, company, and compliance standards.

Roles And Responsibilities

  • Maximize insurance reimbursement for healthcare practice owners.
  • Analyze and discover root causes for medical insurance claim denial, underpayment, or delay.
  • Monitor and reconcile all over age accounts.
  • Interact with the US-based insurance carriers to follow-up on unpaid claims, delayed processing, and underpayment.
  • Analyze data to discover denial patterns, plan and execute medical insurance claim denial appeal process.
  • Interact with US-based practice owners and clinicians on completing and correcting any missing or incorrect data on their insurance claims.
  • Manage assigned receivables portfolio by ensuring outstanding/denied claims are resolved.
  • Undertake denial follow-up and appeals work, wherever required or as instructed.
  • Escalate difficult collection situations to Team Leaders and seek education and instruction.

This is a target and quality based role.

Job Requisites

  • Under Graduation Degree – Preferably, Arts and Science.
  • Communication Skills.
  • Good Aptitude and analytical skills.

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