Sr. Analyst - Ar - Gurugram & Noida

Description: Outbound Process

Education - Any Graduate

Shifts: US Shift / Night Shift

Job Location: Gurugram

Job Description -

• Responsible for calling & collecting data
• Exp in complete RCM process
• Investigate and resolve complex issues related to denied or unpaid medical claims promptly. Utilize in-depth knowledge of US healthcare billing processes to address and overcome challenges.
• Conduct proactive follow-up with insurance companies to ensure timely and accurate reimbursement. Employ effective communication and negotiation skills to secure payment for outstanding claims.
• Verify and update insurance details, ensuring accurate information for claims processing. Navigate insurance portals and systems efficiently.
• Demonstrate expertise in denial management, analysing reasons for denials, and implementing strategies to minimize future occurrences. Collaborate with cross-functional teams for effective resolution.
• Ensure strict adherence to healthcare regulations, including HIPAA, and maintain confidentiality of patient information. Stay updated on industry compliance standards.

Other Details

• Keywords: BPO / Healthcare process/ RCM