Initiate telephone calls to insurance companies requesting the status of claims for the outstanding balances on patient accounts and taking appropriate actions. Manage A/R accounts by ensuring accurate and timely follow-up.
* Perform pre-call analysis and check the status by calling the payer or using IVR or web portal services
* Maintain adequate documentation on the client software to send the necessary documentation to insurance companies and maintain a clear audit trail for future reference
* Record after-call actions and perform post-call analysis for the claim follow-up
* Assess and resolve inquiries, requests, and complaints through calling to ensure that customer inquiries are resolved at the first point of contact
* Provide accurate product/ service information to the customer, research available documentation including authorization, nursing notes, medical documentation on client's systems, interpret explanation of benefits received, etc prior to making the call
* Perform analysis of accounts receivable data and understand the reasons for underpayment, days in A/R, and top denial reasons, use appropriate codes to be used in documentation of the reasons for denials/underpayments.
Thanks and Regards
Siri
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ra****************s@gm**l.com

Keyskills: ar communication denial management billing calling medical denies excellent