About Infinit-O: As a top Business Process Optimization solutions provider we partner with the world's fastest-growing companies in Financial Services, Healthcare, and Technology, offering data-driven solutions and providing strategic advantage.
Our company specializes in business process optimization for 18 years now, with a world-class Net Promoter Score of 71, delivering powerful technology and high-performance teams within our highly engaged and agile culture.
Specific Duties & Responsibilities
- Assist caller/s (patient, insurance representative, provider's office, or attorney office) regarding medical bills related to anesthesia, physical therapy, and foot surgery
- Answer inquiries about the estimated cost of an upcoming or future procedure
- Outbound calling to patients reminding and possibly, collect the patient's balance and update any personal or insurance information if needed for payment/processing
- Contacting different healthcare insurance to get specific reasons for the denial of a claim and take necessary steps to resolve claim denials for payment
- Call the Facility or provider to obtain any patient information needed and do scheduled callbacks
- Analyze and review pending medical claims balance and determine whether the outstanding balance is an insurance responsibility or patient responsibility. For any claims denial, find out the reason for denial by calling the insurance, going to the insurance portal, or checking the attached EOB on the system or account of the patient. And take necessary steps to resolve claim denials for payment
- Gather patient information by calling a patient or using a facility or provider online data record keeper. Fill out the missing information needed to update the patient's account.
Requirements
Skills & Qualifications:
- At least 2 years of experience in voice account supporting US Healthcare RCM campaign
- With excellent written and oral English communication skills
- With a high customer service orientation
- Ability to multi-task in different modalities (inbound, outbound, and back-office work)
- With ample understanding of the US Healthcare RCM process
