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3.7

based on 309 Reviews

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18 AQuity Solutions India Jobs

Revenue Cycle Representative - AR

1-6 years

Mumbai

1 vacancy

Revenue Cycle Representative - AR

AQuity Solutions India

posted 5mon ago

Job Description

Process :

  • Responsible for achieving the defined TAT on deliverables with the agreed Quality benchmark score. Responsible for analyzing an account and taking the correct action.
  • Ensuring that every action to be taken should be resolution oriented whilst working on the specific task/case assigned.
  • Task claims to appropriate teams where a specific department within IKS, or clients assistance is required to resolve them.

Billing:

  • Responsible for ensuring accurate billing to the payer for a specific claim.
  • Addressing the clearing house and front end rejections in a timely manner within a TAT of 24 hour period

AR:

  • Follow up with the payors on open claims beyond a reasonable time period to identify its accurate action.
  • Analyze denials from insurances, verify its authenticity, understand causes and resolve them.
  • Ensure claims are followed up as per assigned ticklers within the stated time period.
  • Manage ageing on the assigned work file.

PP:

  • Responsible for posting the electronic payments once received from the payer onto the clients system
  • Responsible for posting the manual payments once received from the payer onto the clients system
  • Balancing the Batches / Reconciliation
  • Ensuring that correct balance is flipped to the patient where applicable.
  • Ensuring that appropriate adjustments are executed based on payor policies, client guidelines, and adhoc approvals.

EV/BV:

  • Responsible for reaching out to the payor to check on the insurance eligibility and the benefits of the patient
  • Addressing the claims to insurance or Self Pay (Patient Attention) based on the eligibility identified

Qualifications : Graduate from any discipline is a must

Role Prerequisites:

  • Minimum 1 year and above experience in AR, PP, Billing and EV/BV is a must.

Functional Competencies:

  • Knowledge of the US healthcare RCM industry would be preferred
  • Basic Knowledge of working on computers would be preferred
  • Basic Knowledge of MS Office would be preferred.
  • Typing Speed
  • Eye for Detail

Behavioral Competencies:

  • Team Work Communication
  • Customer Service Orientation Accountability
  • Analytical Thinking

Employment Type: Full Time, Permanent

Read full job description

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People are getting interviews at AQuity Solutions India through

(based on 26 AQuity Solutions India interviews)
Referral
Walkin
Job Portal
Campus Placement
Company Website
23%
19%
19%
15%
12%
12% candidates got the interview through other sources.
High Confidence
?
High Confidence means the data is based on a large number of responses received from the candidates.

What people at AQuity Solutions India are saying

What AQuity Solutions India employees are saying about work life

based on 310 employees
51%
62%
77%
55%
Flexible timing
Monday to Friday
No travel
Night Shift
View more insights

AQuity Solutions India Benefits

Submitted by Company
Employee Engagement
Referral Bonus
Free Transport
Cafeteria
Work From Home
Education Assistance +6 more
Submitted by Employees
Work From Home
Health Insurance
Cafeteria
Job Training
Soft Skill Training
Free Transport +6 more
View more benefits

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AQuity Solutions India Mumbai Office Location

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Mumbai, Maharashtra Office
Headquarter
Reliable Plaza, 1st Floor, Unit No. 103, Plot No K 10, Kalwa Industrial Area, Village – Elthen, Taluka & Dist Thane, Airoli, Navi Mumbai Mumbai, Maharashtra
400708

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