AR Callers/ Prior Authorization Executive (Hyderabad)

EXPERIENCE ON RADIOLOGY, INTERVENTIONAL PAIN MANAGEMENT/WORKERS COMP IS PREFERRED. Hiring multiple positions in AR Callers for medical billing in US health Care Domain. Position 1: AR Caller - At least 1 to 2 years of experience in Account Receivables. - Good Knowledge in Denial Management and Rejections. - Analyze claims in case of rejections. - Discover root causes for medical insurance claim denial, underpayment, or delay and propose resolutions. - Interact with the insurance rep to follow-up on unpaid claims, delayed processing, and underpayment. - Calling Insurances on claims resolutions and handling the denials for a closure - Prioritize unpaid claims for calling according to the length of time it has been outstanding - Plan and execute medical insurance claim denial appeal process Qualifications: - Excellent verbal and written communication skills - Valuable analytical & resolution skills preferred. - Candidate should be willing to work in Night shift - Strong reporting skills - Should be thorough with all AR Cycles and AR Scenarios. - Should have worked on appeals, refiling and denial management. - Meet Quality and productivity standards. Position 1: Prior Authorization Executive- Voice Process. - Verifies insurance eligibility and benefit levels to ensure adequate coverage for identified services prior to receipt, patients cost estimation calculation. - Review and process pre-authorization requests for medical services, procedures, and treatments according to established guidelines and procedures - Get prior authorization approval from insurance firms and nurse managers - Appeal insurance companies after prior authorization refusals. - Get prior authorization approval from insurance firms and nurse managers. - Document account activity using correct medical and billing codes. - At least 1 year of experience in obtaining prior authorization. - Interact with the insurance rep to follow-up on appealed authorizations. - Calling Insurances on claims resolutions and handling the denials for a closure Qualifications: - Good organizational skills to implement timely follow-up - Excellent verbal and written communication skills - Strong reporting skills - Ensure accurate & timely follow up where required. EXPERIENCE IN INTERVENTIONAL PAIN MANAGEMENT AND ORTHOPEDICS IS PREFERABLE Interested candidates can share their updated resume with below details to * ONLY MALE CANDIDATES Contact: Mr. Naveen- 9281471911 .