Job Description

Key Responsibilities:

  • Review and analyze unpaid/denied claims and initiate appropriate follow-up.
  • Make outbound calls to US insurance companies (payers) to resolve claims.
  • Understand and interpret Explanation of Benefits (EOBs) and Claim Adjustment Reason Codes (CARCs).
  • Work on claim re-submissions, appeals, and denial resolutions.
  • Update the billing system with clear and accurate documentation of actions taken.
  • Meet daily, weekly, and monthly productivity targets (e.g., call volume, aging resolution).
  • Ensure compliance with HIPAA and company policies.

Required Qualifications:

Education: Any graduate (Life Science or Healthcare background preferred).

Experience:

  • Freshers: With excellen...

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