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JOB DESCRIPTION - Perform pre-call analysis and check status by calling the payer or using IVR or web portal services - Maintain adequate documentation on the client software to send necessary documentation to insurance companies and maintain a transparent audit trail for future reference - Record after-call actions and perform post call analysis for the claim follow-up - Assess and resolve enquiries, requests and complaints through calling to ensure that customer enquiries are resolved at first point of contact - Provide accurate product/ service information to 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 .