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