1. Calling Insurance Company on behalf of healthcare providers for claim status.
2. Should handle US Healthcare Providers Billing.
3. Follow-up with Insurance Company to check status of outstanding claims.
4. Receive payment information if the claims have been processed.
5. Analyze claims in case of rejections.
6. Ensure deliverable adhere to quality standards.
7. Prioritize unpaid claims for calling according to the length of time it has been outstanding
8. Call insurance companies directly and convince them to pay the outstanding claims
9. Check the relevance of insurance info offered by the patient
10. Evaluate unpaid insurance claims
11. Call insurance companies and check on the status of claims
12. Transfer the outstanding balance to the patient of he/she doesn’t have adequate insurance coverage
13. If the claim has already been paid, ask the insurance company for Explanation of Benefits (EOB)
14. Make corrections to the claim based on inputs from the insurance company