AR Trainees Bhutan

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 clear 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