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ezDI
posted 5mon ago
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Flexible timing
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Job Description
- Ensure quality driven follow-up activities and resolution of accounts is carried out with the insurance carriers on the outstanding inventory to yield maximum cash flow and minimum bad debts
- Interact by Phone and Internet based portals with the insurance companies in US to procure status of the claim followed by appropriate activities to address open AR
- The key functions of an AR Executive are to ensure the below responsibilities are carried out to the best of his/her ability in the interest of the organization and client
RESPONSIBILITIES
- To address outstanding or assigned AR through analysis and phone calls by using available resources
- Utilization of all possible tools and applications available to take account to the next level of resolution, which would result in a payment, corrected submission, appeals, patient transfer or adjustment
- To report trends / patterns in denials, claim submission errors, credentialing issues and billing related roadblocks to the immediate reporting manager.
- To meet the established SLAs (service level agreements) for production and quality
- To update the outcome of the calls or analysis in a clear and coherent manner in the billing system
- To utilize the P & P s (policies and procedures) established for the process and stay updated with changes done with the P & Ps
- To improve the performance based on the feedback provided by the reporting manager / quality audit team
COMPLIANCE
Awareness and adherence to all applicable organization wide policies and procedures, including but not limited to Information security, HIPAA, and HR policies.
ACADEMIC AND PROFESSIONAL BACKGROUND
- University graduate with an average aptitude score
- Minimum 12 months - 4 years of AR follow-up experience with either physician or hospital billing background
- CPAT/CCAT certification will be an added advantage
COMPETENCIES, SKILLS, AND OTHER REQUISITES
- Sound analytical skills
- Logical thinking
- Attention to detail
- Adequate domain knowledge on various billing terminologies & processes
- Good verbal and written communication skills
Employment Type: Full Time, Permanent
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based on 22 employees
Flexible timing
Monday to Friday
No travel
Day Shift
ezDI Benefits
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