Quality Control Analyst - AR

Roles and Responsibilities:

• Should have experience in handling US Healthcare Medical Billing.
• To work closely with the team leader.
• Ensure that the deliverables to the client adhere to the quality standards.
• Responsible for working on denials, prior authorization, eligibility verification, rejections, making required corrections to claims.
• Calling the insurance carrier & documenting the actions taken in claims billing summary notes.
• To review emails for any updates.
• Identify issues and escalate the same to the immediate supervisor.
• Strict adherence to the company policies and procedures.

Desired Candidate Profile:

• Extensive Quality experience Audits, Coaching & training as per process defined.
• Min of 1.5 Yrs of Professional and Relevant Experience
• Sound knowledge in Healthcare concept.
• Should have 3 to 6 years of Account Receivable experience.
• Excellent knowledge of Denial management.
• Excellent knowledge of Physician Billing/Hospital Billing.
• Should be proficient in calling the insurance companies.
• Ensure targeted collections are met on a daily/monthly basis.
• Meet the productivity targets of clients within the stipulated time.
• Ensure accurate and timely follow-up on pending claims when required.
• Prepare and maintain status reports.

Perks and Benefits:

• 5 Days Working
• 2-way cab facility
• Provident Fund
• Gratuity
• GLTI
• Incentives
• Medical Insurance