Executive - AR:-
• Average ability on calling, spoken and written English with moderate medical billing knowledge.
• Should be able to work independently with minimal supervision, on moderate and complex tasks with guidance from supervisors
• Should be a team player and collaborate in solving the issues and problems.
Roles & Responsibilities:
• Ability to talk to insurance companies & check online for outstanding payments and document the conversation/ findings on patient account and assigned WP as per the standardization protocol with required accuracy.
• Willingness to work in the night shift
• Meet Compliance requirements like HIPPA etc.
• Meet QMS and ISMS requirements
• Meet productivity and quality standards.
Sr. Executive - AR:-
• Above average calling, spoken and written English skills, high medical billing knowledge
• Should work independently, and with minimal supervision, on complex tasks with guidance from supervisors
• Should be a team player and collaborate in solving the issues
Roles & Responsibilities:
• Ability to analyze a claim and talk to insurance companies & check online for outstanding payments and take necessary action, so that the claim is closed
• Mentor and guide team members
• Willing to work in Night shifts
• Ensure required quality standards.
Analyst - AR:-
• Offers solutions, suggestions & improvements and also help on client specific reports to their immediate supervisor
• Should be a team player, mentor the trainees and collaborate in solving the issues and problems
Roles & Responsibilities:
• Should have the ability to identify global issues, root cause of the problem and take corrective and systemic actions.
• Ensure required quality standards.
• Clear the rejections
• Check whether the response is received in a timely manner
• Check process dashboard on time; if any rejection found
• Generate Insurance Collection summary report grouping by Insurance and sub-grouping.
• Work on the denial bucket claims
• Resolve the denied claims
Sr. Analyst - AR:-
• Capable of handling minimum team of 5-10
• Identify the global issues proactively and offer resolutions and recommendation to eradicate from reoccurring.
• Should be able to mentor the team members
• Ability to generate client specific reports and assist immediate supervisor on day to day operational needs.
• Exceed individual productivity and quality standards as per org policy.
• Assist team to achieve the minimum productivity and quality benchmark.
• Should be a team player and collaborate in solving the issues and problems.
Roles & Responsibilities:
• Should have the ability to identify global issues, root cause of the problem and take corrective and systemic actions.
• Ensure required quality standards.
• Clear the rejections
• Check whether the response is received in a timely manner
• Check process dashboard on time; if any rejection found
• Generate Insurance Collection summary report grouping by Insurance and sub-grouping.
• Work on the denial bucket claims
• Review EOB, post the denials and take appropriate action on the denials.
• Resolve the denied claims.
Skills:- Communication Skills
