- @Harris Computer Systems posted 3 weeks ago
- Posted : 05/10/2021 -Accepting applications
- View(s) 2
o Calls insurance to confirm receipt of claim
o Calls insurance to request claim be adjudicated
o Following up on the claims send for adjudication.
o Gathers all required appeal information for denied cases to assist in drafting the appeal
o Updates information in practice management software: Billing notes and status.
o Request client if additional medical records are needed.
o Confirms payment details if claim was paid, including payment details, date and set’s follow up task
o To maintain daily productivity report.
o To draw OCR (Open Claim Report) from the system
o To prioritize the pending claims for calling from the aging basket
o To schedule the calls as prioritized to US carries and patients by considering the time zone difference
in IST and US time-zone applicable
o To make a physical call by following the international norms and applicable rules for confidentiality
and HIPAA compliance
o To report the outcome of the call in the appropriate system and to advise the team in data-team in
RCM for corrective action.