Job Description
Skills:
Authorization, rejection, Revenue Cycle Management, Denial Handling, US Healthcare, Denial Management, Denials, RCM,
What you'll do
Role Summary
This position is based out of the Hyderabad location, responsible for the following:
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
Required Candidate profile
ACADEMIC AND PROFESSIONAL BACKGROUND
University graduate with an average aptitude score
Minimum 1 year - 4 years in AR follow-up/Denial management experience with hospital billing background
CPAT/CCAT certification will be an added advantage
Looking for aspirants who can join us immediately.
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
Perks and Benefits
Perks and Benefits Best in the Industry with Attractive Incentives
Best Regards,
Fly Consulting Services
HR Team
Veeresh,
7997995118.
