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Ar Voice Process (rcm - Us Healthcare) | @ IDS-Argus Healthcare

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 Ar Voice Process (rcm - Us Healthcare) |

Job Description

Hiring - Job Opportunity


Interested candidates can forward CV to id*********r@id**l.com


Medical Billing RCM (US Healthcare)


Hiring for - AR Callers / Sr. AR Callers


No. of Vacancy : 15



Employer Name: IDS-Argus Healthcare Services Pvt. Ltd.


Job location- Mohali (Punjab), India

Address: C138, Phase 8 (Industrial Area), Mohali



JOB DESCRIPTION:

Physician billing claims management

Ensure maximum revenue collection

Calling insurance for claim queries and obtaining required information from the carriers
Claims review and Escalation of difficult collection situations to immediate supervisors

Denial Management for major scenarios

Handle day-to-day billings

Monitor days in AR and control aging and inactive claims

Co-ordinate with insurance representative to resolve outstanding claims issues

Obtaining referrals and pre-authorizations as required for procedures

Eligibility and benefits verification for service in question

Checking insurance payment for compliance with provider contract

Appeals preparation and review
Handling Rejections from clearing house and insurance carriers
Constantly keep track of both electronic and paper claims
Resolve billing issues that have resulted in delayed payments
Meeting quality benchmark
Understand the project requirements and specifications

Ensure targeted Collections are met on a daily / monthly basis and
Ensure follow-up on pending claims
Prepare and maintain claim status reports

Maintaining record for delayed payments and pay to provider addresses


Required Experience:


6 months to 4 years


Desired Candidate Profile:


Excellent spoken English as well as reading & writing

Should be flexible for working in permanent night shift

Should be well versed with Revenue Cycle Management (RCM) - US Healthcare

Strong Domain knowledge in Physician billing and related Services

Should have knowledge of all the Major denial scenarios

Knowledge about the modifiers and basic DX

Should be able to handle multi-Specialty claims

Should have worked on Mix payers PPO, HMO, Federal Payers, Worker Compensation, IPA

Should know the general payer specific guidelines

Should have proper know how of appeal preparations and related work

Should possess knowledge about Medical billing day to day terminology

Should have command over claims review and claim rectifications

Basic technical knowledge including MS Office, Email/Browser and day to day tools



Perks and benefits:



Salary: Negotiable, Lucrative Incentives, Health Insurance Coverage, Transport facility available (Pick & Drop)



Working : 5 days a week



Job Classification

Industry: Medical, Healthcare, Hospitals
Functional Area: Other,
Role Category: Other
Role: Other
Employement Type: Full time

Education

Under Graduation: Any Graduate in Any Specialization
Post Graduation: Any Postgraduate in Any Specialization, Post Graduation Not Required
Doctorate: Any Doctorate in Any Specialization, Doctorate Not Required

Contact Details:

Company: IDS-Argus Healthcare
Address: C-138, IND AREA, PHASE-8, MOHALI, Punjab, India
Location(s): Mohali, Chandigarh
Website: https://idsargus.com

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Keyskills:   Medicare Appeals US Healthcare Voice Process HMO Medical Billing PPO AR AR Calling Medi-caid IPA Denial Management RCM Claims Processing

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IDS-Argus Healthcare

Established in 2012, IDS-Argus Healthcare Services Private Limited is a joint venture between IDS Infotech Limited (India) and Argus Holding Company LLC (USA). IDS-Argus Healthcare Services Private Limited employs over 200 professionals. IDS-Argus is headquartered in Mohali, with its sec...