Voice Process

Job Description

Training will be provided by the company for freshers who are selected for the position
• 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 of benefits received, etc prior to making the call
• Perform analysis of accounts receivable data and understand the reasons for underpayment, days in A/R, top denial reasons, use appropriate codes to be used in documentation of the reasons for denials/underpayments
Job Requirements

To be considered for this position, applicants need to meet the following qualification criteria:
• 0-4 Years experience in accounts receivable follow-up/denial management for US healthcare customers
• Fluent verbal communication abilities (Business English)
• Call center expertise is an advantage but not mandatory
• Willingness to work continuously in night shifts
• Basic working knowledge of computers.
• For experienced candidates, knowledge of Denials management, A/R fundamentals, healthcare terminology, and ICD/CPT codes will be considered a plus, along with prior experience of working in a medical billing company and use of medical billing software. Access Healthcare will provide training on the client's medical billing software