Medical AR Representative

Medical AR Representative

HCM Nexus Consulting Inc
Metro Manila / NCR
1-3 years
Not Specified

Job Description

DUTIES AND RESPONSIBILITIES
  • Analyze patient accounts
  • Decide whether follow-up us required or not
  • Follow up through Web/ Phone/ fax etc.
  • Decide on the action to be taken in the account
  • Complete the action and suggest further action
  • Document findings
  • Follow-up on all outstanding insurance claims, 60-days and greater from the date of service and in accordance with work allocation.
  • Follow-up on all returned claims, correspondence, denials and rebills within the specified timeline to achieve maximum reimbursement in a timely manner
  • Follow-up on insurance claim denials, exceptions or exclusion to ensure timely processing.
  • Reading and interpreting based on insurance explanation of benefits.
  • Make necessary arrangements for medical records requests, completion of additional information requests, etc. as requested by insurance companies.
  • Provide excellent customer service, determines needs to make a phone call to resolve the claim and handles the account appropriately
  • Other tasks/functions that may be assigned by the company as per business requirement; these may change from time to time to reflect the changing requirement of your position and our business.

Job Details

HCM Nexus

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