Job Description
Responsibilities
Perform pre-call analysis and check the status of claims by calling payers or using IVR/web portals.
Maintain adequate documentation on client software to ensure a clear audit trail and facilitate the submission of necessary documents to insurance companies.
Record after-call actions and conduct post-call analysis for effective claim follow-up.
Assess and resolve inquiries, requests, and complaints via phone, aiming for first-call resolution.
Provide accurate information by researching available documentation, including authorizations, medical notes, and Explanation of Benefits (EOBs), prior to making calls.
Perform basic analysis of accounts receivable (A/R) data to understand reasons for underpayments and denials.
Skills
Fluent verbal communication abilities and call center expertise.
Basic working knowledge of computers.
Ability to learn and adapt to new software and processes.
Knowledge of healthcare terminology and ICD/CPT codes is a plus.
Qualifications
Willingness to work continuously in night shifts.
Prior experience in a medical billing company or with medical billing software is an advantage, but not required, as training will be provided.
💡 Quick Summary
Seeking a career-building opportunity? The Voice Process Freshers position is now open for candidates interested in the IT Engineer & Developer Jobs sector. This role in Mumbai 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 IT Engineer & Developer Jobs is a plus.
