Claims submission and management
Follow-up on unpaid claims and balances
Analysis of aging reports
Appeals and resubmissions for denied claims
Documentation maintenance and compliance
Reporting and analysis of AR performance
Coordination with other departments
Effective utilization of billing technology
High Call volume
Expertise in UB-04 Claim Forms & Institutional Billing Rules.
Knowledge of Payer Policies (Medicare, Medicaid, Commercial Insurances)
Strong Communication & Negotiation Skills (for follow-ups & escalations).
Proficiency in Billing Software
Analytical Thinking to resolve denials
Provide regular updates to the revenue cycle management (RCM) team.
Communicate with insurance representatives and provider reps for claim resolution.
Analyze denial reasons (CO, PR, OA denial codes) and take corrective actions.
Prepare and submit appeals with supporting documents (medical records, EOBs).
Follow up with insurance companies until claims are paid or settled.
InPageAudio To TextGoogle Sheets
MS Office (word , Excel)
In page
Data Entry
Proper Attendace Record, P.F Record, Overtime Sheets & Mannually Attendance etc.
Maintain Dailywages Data, Corporate – Hr Department
Payroll, Wages, Overtime, Full&Final Setlement and Also Know Leave Encashment and Bounus