Executive / Sr. Executive AR Physician Billing

•  Responsible for calling Insurance companies (in the US) on behalf of Physicians/Clinics/Hospitals and follow up on outstanding Accounts Receivables

•  Should be able to convince the insurance company (payers) for payment of their outstanding claims

•  Sound knowledge in U. S. Healthcare Domain (provider side) and methods for improvement on the same

•  Should have basic knowledge of the entire Revenue Cycle Management (RCM)

•  Manage & develop collaterals as required

•  To check with Team Leader for client updates

•  Meeting all set productivity and quality targets with TAT

•  Identify issues and escalate the same to the Team Leader/Manager

•  Update Production logs

•  Adherence to company policies, rules and regulations

•  To follow quality processes using checklist

•  Adherence to HIPAA guidelines

•  Responsible for complying with all QMS and ISMS Policies and procedure

•  Knowledge of Speciality billing with experience in Transplant/Gift Of Life/Organ Procurement billing and follow-up, identify the right changes and billing the same to the specific Organ procurement will be added advantage

 Eligibility

•  1 to 3 years of relevant experience in provider side (US based AR activities)

•  Hands-on Experience in Analysis and calling Insurance companies

•  Excellent Oral and Written communication

•  Having knowledge of EPIC software is desirable

•  Should be ready to work on the claims < $500 Follow-up and Clerical denials

•  Accounts will qualify to you to work at day 30 from bill date in specific WQs that you will work in Epic

•  Should be open to Work from Office in US Timings - EST hours