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Private Jobs / Private Sector
Guidehouse Hiring for Associate- AR (Fresher) at Thiruvananthapuram Full Time
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Overview:
Guidehouse is a leading management consulting firm serving the public and commercial markets. We guide our clients forward towards new futures that build trust in society and your professional skills along the journey. Join us at Guidehouse.
0 – 5 Years’ experience
Knowledge on Healthcare processes
Shall understand and abide by the organizations’ information security policy and protect the confidentiality, integrity and availability of all information assets.
Shall report incidents related to security of information to concerned authorities.
Guidehouse is a leading management consulting firm serving the public and commercial markets. We guide our clients forward towards new futures that build trust in society and your professional skills along the journey. Join us at Guidehouse.
Responsibilities:
- Desired Candidates should possess Excellent Knowledge in medical Billing with minimum 1 – 3 years of Experience and expose to the roles like demographic & charge entry, cash or payment posting, denial capturing, denial management, calling, patient calling.
- Under routine supervision, prepares and submits insurance claims; reviews and adjusts accounts to ensure accurate and thorough billing of claims; monitors and ensures timely payment of bills.
Determines billable claims; corrects and submits insurance claims. Completes insurance data for patient claims; processes, researches and corrects accounts; verifies diagnosis and authorization codes; identifies liability and guarantors; reviews and adjusts account balances; interprets Explanation of Benefits (EOBs); analyzes billing components.
Posts payments and adjustments in billing databases; prepares batches for posting. Verifies all identified insurance carriers for eligibility; confirms carrier policy.
Reviews claims before submission to insurance carrier; assesses adjudicated claims.
Creates, organizes, corrects, updates and maintains accounts on data spreadsheets using medical billing software.
- Ensures correct and prompt claims payments through confirmation from providers. Tracks and monitors claim processing; resolves outstanding claims.
Assists with training and quality verification of lower level billing specialists.
Provides assistance to patients, carriers, and other concerned parties. Assists in distributing workload among coworkers; provides assistance to coworkers; monitors and reviews coworkers” progress; assists in training of new employees.
Qualifications:
GRADUATION AND ABOVE
Additional Requirements:
0 – 5 Years’ experience
Medical Billing knowledge
Knowledge on Healthcare processes
Disclaimer:
Shall understand and abide by the organizations’ information security policy and protect the confidentiality, integrity and availability of all information assets.
Shall report incidents related to security of information to concerned authorities.