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Ar Follow up

Sureminds Solutions Pvt Ltd
Bangalore Bengaluru Karnataka, Karnataka, India
1.5 - 2.5 lacs/annum
Closing date
Jun 11, 2024

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Job Role
Accounts Receivable
Contract Type
Full Time
Position Insurance Follow Up - 2 (ISP-2)

Shift US Shift (05:30 PM to 03:00 AM)

Job function• Checking denials from EOBs, ERAs by calling the Insurance Companies. • Calling the insurance companies for the specification of denials. • Reprocessing the claim over the phone or reopening the claims on the online portals • Filing an appeal to the insurance companies with the required information • Checking status of the appeal filed and reprocessed claims through IVR, Calls and online payer’s portal • Refilling corrected claims with coding/demographic/authorization/referral corrections. • Disputing with the insurance companies on incorrect denials. • Working on FTH (Fix The Hole) to prevent future denials • Tasking to the clients and other teams for required information • Preparing Trending Analysis on the denials and escalating to Supervisors • Finding updates from payers via call or online for billing related information and sharing with the concern team/department to prevent denials. • Responsible for updating any internal databases, electronically storing and organizing patients' records, billing details, and registration forms.

Education +2 or Graduate in any stream


experience Billing & collections training and/or 1 year of industry experience in the relevant function

Other specifications Good English communication (reading, writing, listening, speaking) Understanding of US healthcare, HIPAA Good at Operating Computer - software and MS office

Capable of task execution based on work instructio
Skills:- Medical billing and Accounts receivable

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