
Process Associate
5 days ago
RESPONSIBILITIES
● Calling insurance companies to follow up on claims filed to expedite payment.
● Communicate directly with insurance payers to resolve claims issues.
● Create and file appeals as necessary.
● Check the correct status of AR follows up denials / payments by directly calling insurance companies.
● Verify the reason for denial or delay in payment of claim and to identify what all steps need to be taken.
● Effectively communicates coding / billing issues which are causing denials to Lead.
● Responsible for the account coordinator to implement back up coverage and assignment of files when out of the office.
QUALIFICATIONS
● Completed 2 years or a Bachelor's Degree holder in any field.
● Concrete experience in the BPO Industry
● Knowledgeable in US healthcare regulations and standards. Strong analytical and critical thinking abilities with a keen eye for detail.
● Excellent communication skills, both verbal and written.
● A results-oriented mindset, focused on driving continuous improvement and achieving performance excellence.
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