Job Description
Follow up with the US payer to check on claim status.
Identify denial reason and work on resolution.
Cash collected/Resolution Rate.
Responsibilities Duties
• Reviews denied claims and analyzes corresponding EOBs, or contacts payer, to determine the reason for the denial.
• Review both insurance and patient AR Priority with old Aging bucket.
• Action must take based on the client SOP (EX Pre-approved adjustment for certain CPT codes).
• Coordinates with appropriate teams to correct demographic, insurance, or coding information or gathers necessary documentation from providers and reworks claim.
• Files appeals on denied claims, according to the requirements and timely filing guidelines set by each payer.
• Processes worker s compensation and paper claims when necessary.
• Consistently exhibits behavior and communication skills that demonstrate Sai System s core values and commitment to quality and customer service.
• Must be available for special projects
Required Candidate Profile
Good Communication Skills.
Comfortable with US Shifts.
Any Under-Graduate,Graduate Post Graduate.
Fresher Exp Both Can Apply.
Perks And Benefits
5 Days Working
Fixed Off
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NTMD RCM
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💡 Quick Summary
Seeking a career-building opportunity? The Call Center Executive position is now open for candidates interested in the BPO Jobs sector. This role in Jaipur offers a professional environment and growth potential.
Requirement Snapshot: Candidates should possess basic communication skills, a proactive attitude, and the ability to work in a team. Experience in BPO Jobs is a plus.