JOB DESCRIPTION

• Perform pre-call analysis and check the status by calling the payer or using IVR or web portal services

• Maintain adequate documentation on the client software to send the 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 inquiries, requests, and complaints through calling to ensure those customer inquiries are resolved at the first point of contact

• Provide accurate product/ service information to the customer, research available documentation including authorization, nursing notes, medical documentation on client's systems, interpret explanation ...