Customer Care Senior Analyst

• Performing outbound calls to insurance companies (in the US) to collect outstanding Accounts Receivables.
• SME in Denial Management
• Provide trend analysis of issues with their appropriate solutions to the respective supervisor.
• Review remittance and action the claim for solution towards payment.
• Respond to customer requests by phone and/or in writing to ensure timely resolution of unpaid and denied claims.
• Adhere to SOP guidelines within established productivity standards.
• Report changes identified on payer adjudication guidelines.
• Knowledge on appeals management.
• Attending meetings and in-service training to enhance Accounts Receivable knowledge, compliance skills, and maintenance of credentials.
• Ensure complete adherence to TAT and SLA’s as defined by the customer
• Maintaining patient confidentiality.

Required Skills for this role include:

• 5+ years of experience working on Revenue Cycle Management regarding medical billing.
• Expertise on Revenue cycle management and End to End resolution guidelines.
• Expertise with Windows PC applications that required you to use a keyboard, MS office, navigate screens, and learn new software tools.
• Ability to work regularly from office scheduled shifts from Monday-Friday 5:30 pm to 3:30 pm IST.