JOB DESCRIPTION:• Perform pre-call analysis and check status by calling the payer or using IVR or web portal services.• Maintain adequate documentation on the client software to send necessary documentation to insurance companies and maintain a clear audit trail for future reference.• Record after-call actions and perform post call analysis for the claim follow-up• Assess and resolve enquiries, requests and complaints through calling to ensure that customer enquiries are resolved at first point of contact.• Provide accurate product/ service information to customer, research available documentation including authorization, nursing notes, medical documentation on client's systems, interpret explanation of benefits received etc prior to making the call.• 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.JOB REQUIREMENTS: • 2 - 7 Years of experience in accounts receivable follow-up / denial management for US healthcare customers• Fluent verbal communication abilities / call centre expertise• Knowledge on Denials management and A/R fundamentals will be preferred.• Willingness to work continuously in night shifts ( Work From Office ).• Basic working knowledge of computers.• Prior experience of working in a medical billing company and use of medical billing software will be considered an advantage. We will provide training on the client's medical billing software as part of the training.• Knowledge of Healthcare terminology and ICD/CPT codes will be considered a plusExperience: 2 to 7 YearsLocation: Kerala (Kochi) (Complete WFO)Shift: US Shift (6:30 PM to 3:30 AM)Who We Are:PracticeSuite is a national, fast-growing cloud computing software company based in Tampa, FL that provides a cloud-based 360°Office Platform to healthcare facilities. PracticeSuite has an agile management team, high employee morale, and high customer satisfaction and retention. PracticeSuite is growing rapidly and is being recognized as one of the 5 top cloud-based systems within healthcare.Please visit our website to learn more about us, at PracticeSuite, Inc is committed to equal opportunity in the terms and conditions of employment for all employees and job applicants without regard to race, color, religion, sex, sexual orientation, age, gender identity or gender expression, national origin, disability, or veteran status. PracticeSuite, Inc also complies with all applicable national, state and local laws governing nondiscrimination in employment.Interested candidates can share resume at yashashree@
Job Title
AR Caller - RCM - US Healthcare