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Us Medical Billing Specialist

Sage Healthy
0-5 years
Not Disclosed
10 March 13, 2024
Job Description
Job Type: Full Time Education: B.Sc./ M.Sc./ M.Pharm/ B.Pharm Skills: Causality Assessment, Communication Skills, ICSR Case Processing, Interpersonal Skill, Labelling Assessment, MedDRA Coding, Narrative Writing, Technical Skill, Triage of ICSRs, WHO DD Coding

Job description

  • We have openings for AR Analyst/ Denial Management , AR Caller , Charge & Payment Posting Claims Processing , Data Entry, Eligibility and Benefits Verification, Prior Authorization, Personal Injury , Quality and Process trainer

 

  • Walkin after 6.30 pm Monday to Friday
  • Address: Sage Healthy Global Pvt Ltd

1st Floor,

IIFL Towers,

Perungudi

 

  • Denial Management:

 

    • Analyze and resolve claim denials promptly, identifying root causes and implementing corrective actions.
    • Collaborate with billing and coding teams to prevent recurring denials and improve overall claims acceptance rates.
  • Appeals and Resubmissions:

 

    • Prepare and submit appeals for denied claims, providing necessary documentation to support claim reconsideration.
    • Monitor the status of appealed claims and take appropriate actions to expedite resolution.
  • Patient Collections:

 

    • Engage in insurance collections activities, including making follow-up calls, and setting up payment plans.
    • Provide clear communication to address inquiries regarding billing and outstanding balances.
  • Analysis:

 

    • Analysis of generated reports on denial trends, collection activities, and outstanding balances, providing insights for process improvement.

 

  • Insurance Verification:

 

    • Thoroughly verify insurance benefits for patients, confirming coverage details, policy status, and any pre-authorization requirements.
  • Communication with Insurance Payors:

 

    • Establish and maintain communication with insurance payors to resolve discrepancies, obtain necessary information, and ensure accurate billing.
  • Data Entry and Documentation:

 

    • Enter and maintain accurate patient information and insurance details in the system, ensuring data integrity.
  • Patient Interaction:

 

    • Communicate insurance-related information to patients, addressing inquiries and providing clarity on coverage and billing matters.
  • Team Collaboration:

 

    • Collaborate with cross-functional teams, including billing and administrative staff, to facilitate smooth information flow and resolve insurance-related issues.
  •  

Role: Medical Biller / Coder

Industry Type: Analytics / KPO / Research

Department: Healthcare & Life Sciences

Employment Type: Full Time, Permanent

Role Category: Health Informatics

Education

UG: Any Graduate