Omega Healthcare Management Services Pvt. Ltd.
Bengaluru / Bangalore, Chennai, Hyderabad / Secunderabad, Mumbai
Openings : 0
Other Benefits : Quarterly Performance and Tenure based incentives.
Functional Area : Customer service / Support
Industry Type :
Perform medical billing and collection activities for assigned patient accounts.
Call Payer (Insurance) to resolve claims (denial/non-denial) after review from PMS, internal system & process toward resolution (Payment,
Adjustment & self-pay).
Identify potential process improvements, trends, issues and escalate to Supervisor through calling.
Follow the Workflow documentation like SOP’s Update tracker, Issue Log and Trend logs.
Be part of all the training session to gain knowledge towards RCM. ? Resolve complex patient account issues requiring investigation of system timeline comments, payer reimbursements and account
Identify the accounts which does not require calling and can be fixed by Analyst to resolve
Logical thinking to identify the trends, resolve accounts for an error free account
Identify payer issues and leads special projects to aggregate claim data for payer reprocessing and escalate complex payer issues to the
lead billing specialist as necessary
Profile Description Ambitious, Analytical, Excellent Communication Skills, Willing to work in US Shift Timings (Monday to Friday). Saturday and Sunday are off days.
Under Graduate Qualification Not Disclosed No Backlogs Accepted
PG Qualifications Not Disclosed No Backlogs Accepted
Leading Revenue Cycle Management Multinational Company catering to US Hospitals, Insurance and Healthcare Service Providers