Process Associate

Skills:

Good verbal and written communication Skills.

Able to build rapport over the phone.

Strong analytical and problem-solving skills.

Be a team player with positive approach.

Good keyboard skills and well versed with MS-Office.

Able to work under pressure and deliver expected daily productivity targets.

Ability to work with speed and accuracy.

Medical billing AR or Claims adjudication experience will be an added advantage.

Experience

1 to 3 year experience US calling process will be an added advantage.

Job Description

The job involves an analysis of receivables due from healthcare insurance companies and initiation of necessary follow-up actions to get reimbursed. This will include a combination of voice and non-voice follow-up along with undertaking appropriate denial and appeal management protocol.

Job Responsibilities

1) Analyses outstanding claims and initiates collection efforts as per aging report. So that claims get reimbursed.

2) Undertakes denial follow-up and appeals work wherever required.

3) Documents and takes appropriate action of all claims which has been analyzed and followed-up in the clients software.

4) Build good rapport with the insurance carrier representative.

5) Focuses on improving the collection percentage.

Desired Qualities

Behavior: Discipline, Positive Attitude & Punctuality

Knowledge: Basic knowledge of computers & Data entry.