15 Saisystems Technology Jobs

Greetings From Saisystems Health

We are looking for AR Calling -Team Lead - Male candidates - Night Shift

Job Roles & Responsibilities:

• Coordinates with various RCM Delivery teams, including Reimbursement Analysts, Transaction Specialists, Claims Submission Specialists, Patient Access Liaisons, Patient Billing Specialists, and others, to determine what claims/payers/facilities/providers/patients/others require calling.
• Assigns workflows to team, oversees workflow activities
• Maintains strong knowledge of payer-implemented billing procedures, shares changes with AR Calling Supervisor and makes necessary changes to processes.
• Ensures team delivers quality service, in accordance with each Service Level Agreement (SLA)
• Call's payers to obtain claim statuses, in accordance with each client's Service Level Agreement (SLA) resubmit claim within timely filing deadlines
• Places calls to facilities/providers/payers to obtain chart notes/documentation/prior-authorization information/ eligibility verification information, etc
• Encourages smooth daily operations, and maintains daily operations reports, as necessary.
• Monitors team productivity and provides guidance and motivation.
• Conduct regular audits of team members' work to ensure accuracy, compliance with standard regulations.
• Provide training to new and existing team members on billing procedures, denial management, and effective communication to enhance team performance.
• Address payment reconciliation calls, create a payment/Insurance portal and support on EFT/ERA enrollment calling
• Delivers feedback on processes, workflows, and team productivity to AR Calling Supervisor Escalates operational process/workflow issues, as necessary.
• Consistently exhibits behavior and communication skills that demonstrate Saisystems's core values and commitment to quality and customer service
• Fulfills all compliance responsibilities related to the position, handles all protected health information in a manner consistent with Health Insurance Portability and Accountability Act (HIPAA) regulations
• Leads by example.
• Must be available for special projects.

If interested kindly share CV to mabdulibrahim@health.saisystems.com

Contact Person-Y Mohammad Asif -HR

Contact Number: 93428 40498