Process Associate @ Calpion Software

Job Description

Role & responsibilities

• Reviewing patient medical records and bills to ensure accuracy
• Entering patient treatment codes into billing software
• Processing and submitting medical claims to insurance companies
• Following up on rejected or denied claims
• Communicating with healthcare providers and insurance companies to resolve billing issues
• Assisting with patient inquiries about billing and insurance
• Maintaining confidentiality of patient data according to HIPAA guidelines
• Updating and maintaining billing software with the latest coding information
• Performing regular audits to ensure that all charges are accounted for and billed correctly
• Processing payments from insurance companies and patients

Preferred candidate profile

• Excellent written and oral communication skills.
• Minimum 1-year experience in AR calling
• Understand the Revenue Cycle Management (RCM) of US Healthcare providers.
• Basic knowledge of Denials and immediate action to resolve them.
• Follow up on the claims for collection of payment.
• Responsible for calling insurance companies in the USA on behalf of doctors/physicians and following up on outstanding accounts receivables.
• Should be able to resolve billing issues that have resulted in payment delays.
• Must be spontaneous and enthusiastic

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Rs 0 - 50K PM Rs 50K - 1 LPA Rs 1.0 - 1.5 LPA Rs 1.5 - 2.0 LPA Rs 2.0 - 2.5 LPA Rs 2.5 - 3.0 LPA Rs 3.0 - 3.5 LPA Rs 3.5 - 4.0 LPA Rs 4.0 - 4.5 LPA Rs 4.5 - 5.0 LPA Rs 5 - 6 LPA Rs 6 - 7 LPA Rs 7 - 8 LPA Rs 8 - 9 LPA Rs 9 - 10 LPA Rs 10 - 12 LPA Rs 12 - 14 LPA Rs 14 - 16 LPA Rs 16 - 18 LPA Rs 18 - 20 LPA Rs 20 - 22 LPA Rs 22 - 24 LPA Rs 24 - 26 LPA Rs 26 - 28 LPA Rs 28 - 30 LPA Rs 30 - 32 LPA Rs 32 - 34 LPA Rs 34 - 36 LPA Rs 36 - 38 LPA Rs 38 - 40 LPA Rs 40 - 42 LPA Rs 42 - 44 LPA Rs 44 - 46 LPA Rs 46 - 48 LPA Rs 48 - 50 LPA Rs 50 - 75 LPA Rs 75 Lakh - 1C PA Rs 1 Crore+ PA

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Keyskills:   Charge Posting Payment Posting Revenue Cycle Management US Healthcare Medical Billing