Customer Service Representative

Position description:

Graduates With more than 1 year experience in US health care industry. Should have strong knowledge in RCM and denial management. Should have knowledge on terms like CPTs, Modifiers, ICD codes. Should have knowledge on insurance guidelines especially Medicare and Non-Medicare. Good Knowledge on Denial Scenarios Flexible to work with night shift Calling Insurance agents on claims resolutions and handling the denials for a closure. Ensure 100% follow up on pending claims Should provide analysis/trends on AR inventory to Team Leader/AM.

Primary Responsibilities:

• Flexible to work with night shift
• Calling Insurance agents on claims resolutions and handling the denials for a closure
• Good Knowledge on Denial Scenarios
• Should have knowledge on insurance guidelines especially Medicare and Non-Medicare.
• Ensure 100% follow up on pending claims.
• Strong verbal and written communication skills with the ability to translate information requests into practical output results.
• Should be analytically strong & well versed with RCM benchmarks.
• Excellent Domain Knowledge