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Associate (AR) Bookmark and Share Add to Watch List | Apply Now

Experience: 0 to 0yrs. | Salary: 0.0-0.0 Lac P.A
Posted On: 28 Jul 2014

Job Description

gjobsonline Job Description Position Title, Responsibility Level: Associate (AR) Function: Healthcare Reports to - Assistant Manager Permanent/ Temporary: Permanent Span of Control – Nil Location: Kochi Roles & Responsibilities • Review provider claims that have not been paid by insurance companies • Follow up with insurance companies to understand status of claims. Follow up is done through insurance company/ TPA website or through outbound calls • Based on information received from the insurance company/ TPA, make necessary corrections to the claim and re-file the corrected claim to the insurance company/ TPA • In case the patient does not have sufficient insurance coverage for the medical procedure or if the patient is in any way not eligible for coverage, transfer the outstanding balance to the patient. • In case the claim has already been paid by the insurance company, request insurance company/ TPA to send EOB (Explanation of Benefits) through fax/ mail. Primary Internal Interactions: • AM for the purpose of reporting performance, clarifying concerns, and seeking feedback and support. • Manager for the purpose of settling issues left unresolved by the AM • Team Members for the purpose of seeking cooperation and clarification on process-related matters and providing assistance and support when required. • SME/ Process Trainer for the purpose of training as and when required. Primary External Interactions • Contact insurance company or their designated TPA through website or phone call to understand claim status • Escalation team at client end for seeking clarifications and answering queries. • Trainers at the client end for training

Salary :
0.0-0.0 Lac P.A
Industry :
ITES / BPO / KPO / LPO / Customer Service / Operations
Category :
ITES,BPO,KPO. Customer Services ,Operations
Keyskills :
Last date For Apply :
20 Aug 2014
Job Locations :

Desired Candidate Profile

Education: Any.
Please refer to the Job description above



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