Job Description

JOB DESCRIPTION

  • Perform pre-call analysis and check the status by calling the payer or using IVR or web portal services

  • Maintain adequate documentation on the client software to send the necessary documentation to insurance companies and maintain a clear audit trail for future reference

  • Record after-call actions and perform post-call analysis for the claim follow-up

  • Assess and resolve inquiries, requests, and complaints through calling to ensure those customer inquiries are resolved at the first point of contact

  • Provide accurate product/ service information to the customer, research available documentation including authorization, nursing notes, medical documentation on client's systems, interpret explanation ...

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