Immediate Hiring! Denial Management- Voice (Physican Billing and Hospital Billing)

Roles & Responsibilities

• Perform AR follow-up on outstanding insurance claims and denied claims.
• Contact insurance companies via calls, IVR, or web portals to obtain claim status.
• Investigate and resolve claim denials, underpayments, and payment delays.
• Analyze EOBs (Explanation of Benefits) and determine appropriate actions.
• Work on denial management and appeals to maximize reimbursements.
• Document call outcomes and update claim status accurately in the billing system.
• Identify trends in denials and recommend corrective actions.
• Follow up on pending claims and ensure timely resolution.
• Maintain productivity and quality standards as defined by the organization.
• Collaborate with billing and coding teams to resolve claim-related issues.

Required Skills

• Knowledge of US Healthcare and Medical Billing processes.
• Experience in AR Follow-up and Denial Management.
• Understanding of Medicare, Medicaid, and Commercial Insurance policies.
• Strong verbal and written communication skills.
• Good analytical and problem-solving abilities.
• Ability to work with billing software and MS Excel.
• Ability to meet productivity and quality targets