TRIARQ Health India
Website:
triarqhealth.com
Job details:
TRIARQ Health is a Physician Practice Services company that partners with doctors to run
modern patient-centred practices so they can be rewarded for delivering high-value care.
TRIARQ’s Physician-led partnerships simplify practices transition to value-based care by
combining our proprietary, cloud-based practice, care management platform and patient
engagement services to help doctors focus on better outcomes.
Role & responsibilities
· Perform pre-call analysis and check status by calling the payer or using IVR or web portal services
· Maintain adequate documentation on the client software to send necessary documentation to insurance companies and maintain a clear audit trail for future reference
· Record after-call actions and perform post call analysis for the claim follow-up
· Assess and resolve enquiries, requests and complaints through calling to ensure that customer enquiries are resolved at first point of contact
· Provide accurate product/ service information to customer, research available documentation including authorization, nursing notes, medical documentation on client's systems, interpret explanation of benefits received etc. prior to making the call
· Perform analysis of accounts receivable data and understand the reasons for underpayment, days in AR, top denial reasons, use appropriate codes to be used in documentation of the reasons for denials / underpayments
Preferred candidate profile
· Candidates should have experience in denial management
· Having background in handling insurance calls
· Should posses skills to analyze and address denial issues.
· Minimum qualification required is HSC
· Excellent communication skills.
Perks and benefits
· 5 days working
· Free Dinner
· Home Drop
· Performance based incentives
Click on Apply to know more.
