EXECUTIVE - AR

Role Description Overview:

The User is accountable to manage day to day activities of Denials Processing/ Claims follow-up/ Customer Service

Responsibility Areas:

1. Should handle US Healthcare providers/ Physicians/ Hospitals Accounts Receivable.
2. To work closely with the team leader.
3. Ensure that the deliverables to the client adhere to the quality standards.
4. Responsible for working on Denials, Rejections, LOAs to accounts, making required corrections to claims.
5. Calling the insurance carrier Document the actions taken in claims billing summary notes.
6. To review emails for any updates
7. Identify issues and escalate the same to the immediate supervisor
8. Update Production logs
9. Strict adherence to the company policies and procedures.

• Sound knowledge in Healthcare concept.
• Should have 6 months to 3 Yrs of AR calling Experience.
• Excellent Knowledge on Denial management.
• Understand the client requirements and specifications of the project
• Should be proficient in calling the insurance companies.
• Ensure targeted collections are met on a daily / monthly basis
• Meet the productivity targets of clients within the stipulated time.
• Ensure accurate and timely follow up on pending claims wherein required.
• Prepare and Maintain status reports