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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