Job Description:

Responsible for calling Insurance companies (in US) on behalf of doctors/physicians for Claim Status, Eligibility verification and follow-up on outstanding Accounts Receivable. Responsible for timely and appropriate follow-up actions against outstanding Accounts Receivable based on denial reasons. To identify and resolve medical claims billing and reimbursement issues and aimed at maximizing collections and minimizing accounts receivables. Responsible for denial trend analysis, Payer reimbursement guidelines and resolving bulk issues or escalate to management for further review. Handling EDI rejections. Excellent communication and analytical skills; knowledge of US Healthcare regulations; willingness to work night shifts Call insurance companies for claim status and eligibility verification; follow up on outstanding accounts receivable; resolve billing issues and denial trends