Duties & Essential Functions:
Reasonable accommodation may be made to enable individuals with
disabilities to perform job-related functions.
Review claims for assigned offices and ensure submission within a timely manner.
Perform quality control checks on patient accounts for accurate billing.
Review and analyze denial queues to identify outstanding claims and unpaid balances.
Follow up on denied, underpaid or rejected claims with insurance companies to resolve billing
discrepancies and ensure proper reimbursement.
Investigate and resolve any claim rejections or denials, including appealing or demanding
denied claims when necessary.
Collaborate with the Insurance Verification team to ensure eligibility and coverage is
uploaded for patients, ensuring accurate billing information is obtained.
Communicate with insurance companies, patients, and healthcare providers to gather
additional information required for claim processing
What We Do
We believe customers and employees should be looked after, and every interaction is an opportunity for a conversation and to learn more about them. The value of human touch is irreplaceable, so MöBIUS, our Conversational Gen AI chatbot, can fully automate or play a supporting role across end-to-end customer journeys. Whether you prefer the tradition of human-centric services, the efficiency of fully autonomous solutions, or a seamlessly blended approach, we’ve got you covered. When the human touch is needed, MöBIUS enhances our agents’ performance and amplifies their empathy. With productivity gains and automation, we save time for the human conversations that matter.
Over the past decade, we’ve supported businesses by successfully applying our people and expertise to their diverse range of industries and use cases. Delivering simplified operations and improved customer experiences that allow our customers to focus their time on the things that matter to them.
Our expertise stems from an in-depth understanding of customer needs, technology, markets, and constantly adapt to help our customers navigate difficult challenges.
To learn more visit us at www.quantanite.com.
