To greet incoming patients or their representatives and to record complete information required for processing cashless facility. To hand over Pre-Auth form to patient and explain the procedure in detail. To process Initial approval, interim bill and final enhancement and co-ordinate with billing. To answer questions and to provide information directly to the person or on the telephone. For eg ...
Review provider claims that have not been paid by insurance companies ï‚· Follow up with insurance companies to understand status of claims. Follow up is done through insurance company/ TPA website or through outbound calls AR Exp is must to apply
that Corporate, TPAs and ESIC demands are met. Monitor charges and verify correct collection of claims. 5 Years experience in Health Care, Medicaid, or related field Medicaid Health Insurance Industry Experience, including Claims Regulations Excellent Customer Facing Interfacing / Relationship Development Experience Effective communication skills
global practices on flexible benefits plan designs to assist clients in making informed decisions. Work with Benefits team, insurers, TPAs to develop innovative solutions in Flexible Benefits Pragmatically consider specific client problems from the clients business perspective (cross LOB) and develop