Responsibilities of the Candidate:

Should be able to take ownership, handle open AR, and bring them to closure.
Analyze outstanding claims and initiate collection efforts as per the aging report
Initiate telephone calls to insurance companies to ascertain outstanding claim status
Contact insurance companies for further explanation of denials and underpayments
Review denials to determine necessary steps for claims review
Should be able to convince the insurance company to pay the outstanding claims.
Take appropriate action on claims to guarantee resolution
Ensure accurate and timely follow-up where required
Monitor all outstanding balances

Requirements:

Minimum a Graduate in any field of their choice.
Ability to work night shifts, i.e., 06:00 PM to 03:00 AM for Gurugram and 06:00 PM to 03:00 AM for Pune.
Candidates with 6 months to 2 years of relevant experience in Denial Management and Insurance Follow-ups will be designated as Analysts, while those with 2+ years of relevant experience will be Senior Analysts.
Good Knowledge of US healthcare concepts, denial management, and insurance claims procedures
Innovative, Motivational, Confident, Fair, Influential, and Respectful attitude
Good Analytical knowledge