Job Description

Greetings From Omega Healthcare !!! Congratulations!! Your profile is shortlisted for the final round of Interview with Omega Healthcare. Address - Wind Tunnel Rd, Avalappa Layout, Muniyappa Layout, Murgesh Pallya, Bengaluru, Karnataka - 560017 , 080 4155 7333 https://maps.app.goo.gl/X5UBbLijt1nMCbd27 * NOTE : KINDLY MENTION TOP OF RESUME NAUKRI *Janifer R * 7090082451 * MEGA WALK -IN DRIVE IS ON Monday to Friday , TIMING : 10:30AM TO 3: 30PM* ** Note : Walkin Interviews between 10am to 3 : 30pm ** **Salary : CTC 18000 k to 21000k ** Roles and Responsibilities Call Payer (Insurance) to resolve claims (denial/non-denial) after review from PMS, internal system & process toward resolution (Payment, Adjustment & self-pay). Identify potential process improvements, trends, issues and escalate to Supervisor through calling. Follow the Workflow documentation like SOPs Update tracker, Issue Log and Trend logs. Be part of all the training session to gain knowledge towards RCM. Resolve complex patient account issues requiring investigation of system timeline comments, payer reimbursements and account transactions Identify the accounts which does not require calling and can be fixed by Analyst to resolve Logical thinking to identify the trends, resolve accounts for an error free account Identify payer issues and leads special projects to aggregate claim data for payer reprocessing and escalate complex payer issues to the lead billing specialist as necessary Roles and Responsibilities Call Payer (Insurance) to resolve claims (denial/non-denial) after review from PMS, internal system & process toward resolution (Payment, Adjustment & self-pay). Identify potential process improvements, trends, issues and escalate to Supervisor through calling. Follow the Workflow documentation like SOPs Update tracker, Issue Log and Trend logs. Be part of all the training session to gain knowledge towards RCM. Resolve complex patient account issues requiring investigation of system timeline comments, payer reimbursements and account transactions Identify the accounts which does not require calling and can be fixed by Analyst to resolve Logical thinking to identify the trends, resolve accounts for an error free account Identify payer issues and leads special projects to aggregate claim data for payer reprocessing and escalate complex payer issues to the lead billing specialist as necessary Desired Candidate Profile Minimum 1 Yr Call Center Experience Graduates or Under Graduates Good communication skills Perks and Benefits Quarterly Incentives 5 days a week All US holidays along with Indian Holidays Very lucrative employee referral policy Desired Candidate Profile.