Recovery Officer

Job description

• Billing & Pre-Auth Coordination: Handled end-to-end credit billing, documentation, and pre-authorization approvals for Ayushman Bharat (AB-PMJAY), CGHS, ECHS, and corporate TPA clients. • Outstanding Recovery: Tracked, monitored, and accelerated the recovery of long-pending outstanding payments from government panels and private insurance companies. • Denial & Query Management: Investigated short-payments, deducted amounts, and claim rejections; prepared and submitted strong medical justifications to reverse denials. • Payment Reconciliation: Performed regular reconciliation of credit ledgers against bank receipts to ensure accurate accounting of TPA and scheme payments. • Corporate Liasoning: Maintained strong professional relationships with TPA empanelment managers and corporate corporate desk officers to expedite stuck payments. • Audit Compliance: Audited discharge summaries, indoor case papers (ICP), and final bills before submission to ensure zero-penalty compliance with government guidelines.