Quantazone is a leading consulting and professional services organization. We are the trusted partner to enterprises and organizations worldwide, delivering technology-enabled solutions for extraordinary outcomes in quality and cost

Job Description:

• Review the provider's claims that the insurance companies have not paid.

• Follow-up with Insurance companies to understand the claim's status - Initiate telephone calls or verify through payer websites or otherwise request the required information from insurance companies. 

• Contact insurance companies for further explanation of denials and underpayments and where needed, prepare appeal packets for submission to payers.         

• Based on the responses/ findings, make the necessary corrections to the claim, and re-submit/ refile as the case may be

• Document actions taken into the claims billing system.

• Meet the established performance standards daily.

• Improve skills in CPT codes and DX Codes. Make collections with a convincing approach. 

• Good understanding of the US Healthcare revenue cycle and its intricacies

Shift Timing: Night shift (US Shift) (5.30 PM – 2.30 AM IST) 

Shift Days: Monday - Friday

Salary: Upto 28K CTC {Including Night Shift Allowance}

Additional Benefits:
1. Monthly Food Coupon - Worth Rs.900 per month (10000 PA), can be used in office canteen…
2. Night Shift allowances - Rs.50 per day (Based on the attendance) (15000 PA)
3. Good Incentive plans – Can earn up to double the salary
4. Free Two-way cab facilities (25Kms radius of the office location)
5. Insurance courage of 1 Lakh (Self, spouse and 2 children’s)
6. All statutory benefits are applied (PF, ESIC, PT Etc.)

• Any Graduate can apply
• Minimum 1 year experience in the related field

• Experience in at least 15 denials is a must
• Experience in Ethic Software is a must
• Good communication skills and a fair command of the English language
• Experienced in AR Follow-up and Denials Management
• Excellent analytical and comprehension skills