Key skills and experience

• Minimum of 6 months of experience in medical billing, insurance claims, or a related field.

• Strong English proficiency, both verbal and written.

• Familiarity with healthcare regulations and industry guidelines.

• Excellent communication skills with the ability to make outbound calls to insurance companies and payors.

• Detail-oriented and able to maintain accurate records.

• Ability to work independently while adhering to internal guidelines and procedures.

• Proficiency in Microsoft Office Suite or similar software; experience with medical billing software is a plus.

Responsibility

Outbound Calling:

• Make outbound calls to insurance companies and payors to collect essential information, including claim statuses, denial reasons, and any additional relevant details.

• Conduct all calls in full compliance with the Client's guidelines and applicable healthcare regulations.

• Maintain professionalism and ensure clear communication during each call.

Data Categorization and Labeling:

• Accurately record, categorize, and label calls or information gathered using the taxonomy and definitions provided by the client.

• Ensure all claim statuses and call outcomes are properly labeled for consistency in reporting and easy analysis.

• Deliver categorized data in periodic reports or through the portal developed by client, following the requested format and frequency.

Call Transcript Analysis:

• Analyze recorded call transcripts to extract actionable insights, identifying trends, recurring denial reasons, and other patterns.

• Compile findings into periodic reports, providing valuable information to the Client to support process improvements and optimize workflows.