Medical Billing
Qualification - Any Graduate
Skills - Good communication skills and a fair command of the English language
Preferred Skills, Education and Experience/freshers
Experienced in AR Follow-up and Denials Management
Good understanding of the US Healthcare revenue cycle and its intricacies
Excellent analytical and comprehension skills
Roles and Responsibilities: -
Review provider's claims that have not been paid by the insurance companies
Follow-up with Insurance companies to understand the status of the claim - Initiate telephone calls or verify through payer websites or otherwise request the required information from insurance companies.
Contact insurance companies for further explanation of denials and underpayments and where needed, prepare appeal packets for submission to payers
Based on the responses/ findings, make the necessary corrections to the claim, and re-submit/refile as the case may be
Document actions are taken into the claims billing system
Meet the established performance standards on a daily basis Improve skills on CPT codes and DX Codes.
Make collections with a convincing approach.