Walkin Drive

Roles and Responsibilities

• Call Payer (Insurance) to resolve claims (denial/non-denial) after review from PMS, internal system & process toward resolution (Payment, Adjustment & self-pay).
• Identify potential process improvements, trends, issues and escalate to Supervisor through calling.
• Follow the Workflow documentation like SOPs Update tracker, Issue Log and Trend logs.
• Be part of all the training session to gain knowledge towards RCM.
• Resolve complex patient account issues requiring investigation of system timeline comments, payer reimbursements and account transactions
• Identify the accounts which does not require calling and can be fixed by Analyst to resolve
• Logical thinking to identify the trends, resolve accounts for an error free account
• Identify payer issues and leads special projects to aggregate claim data for payer reprocessing and escalate complex payer issues to the lead billing specialist as necessary Roles and Responsibilities
• Call Payer (Insurance) to resolve claims (denial/non-denial) after review from PMS, internal system & process toward resolution (Payment, Adjustment & self-pay).
• Identify potential process improvements, trends, issues and escalate to Supervisor through calling.
• Follow the Workflow documentation like SOPs Update tracker, Issue Log and Trend logs.
• Be part of all the training session to gain knowledge towards RCM.
• Resolve complex patient account issues requiring investigation of system timeline comments, payer reimbursements and account transactions
• Identify the accounts which does not require calling and can be fixed by Analyst to resolve
• Logical thinking to identify the trends, resolve accounts for an error free account
• Identify payer issues and leads special projects to aggregate claim data for payer reprocessing and escalate complex payer issues to the lead billing specialist as necessary

Desired Candidate Profile

• Minimum 1 Yr Call Center Experience
• Graduates or Under Graduates
• Good communication skills

Perks and Benefits

• Quarterly Incentives
• 5 days a week
• All US holidays along with Indian Holidays
• Very lucrative employee referral policy Desired Candidate Profile.