Midhuna Ramesh S

Associate II - AR (Non-Voice Process) 1 Year

Associate II - AR ( Voice Process) Present
Processed and reviewed medical claims for accuracy and completeness.

• Resubmit claims, contact insurance companies, analyze remittances, and take appropriate action on rejections and denials.
• Worked on denial management by analyzing claim rejections and submitting corrections.
• Coordinated with internal teams to resolve billing discrepancies.
• Maintained detailed records of all transactions in compliance with healthcare regulations.
• Verify insurance eligibility and update patient accounts based on client-specific SOPs.
• Perform work with exceptionally high quality and meet or exceed target quality levels.
• Call insurance companies to investigate claims status, identify appeals action, and determine the next best action to resolve accounts.
• Review patient ledgers with outstanding charges and take the next best action for follow-up to collect balances.
• Perform account review and claims follow-up on outstanding accounts.
• Investigate claims status and determine the next best action for open accounts via available insurance websites.