Job Description_ Senior Executive - AR Analyst _ Denial management
Job Name
Senior Executive
Position Title
Senior Executive -
AR Analyst
Band
A2
LOB: Denial Management AR Analyst - RCM
Reporting To
Assistant Manager
Location/Site:
EXL India, Chennai
Overview
Review, Analyze and Manage assigned outstanding receivables portfolio by ensuring outstanding/denied claims are resolved, follow up effectively for additional information as needed with insurance companies for claims resolution, follow up with the insurance company on the outstanding/denied claims and resolve them within the timelines and defined Service Level Agreements (SLA's), website checking and working on non-callable denials.
Qualifications
Graduation in any stream
Experience
BPO Experience : 2-4 years
US Healthcare AR Experience Preferred
Communication Skill:
Excellent written (documentation) and oral communication skills
Working Hours
40 hours per week as Full-time employee
Shift time: Mid Shift
Weekends Off
Telecommuter/Internet Requirements, If Applicable
High Speed internet connection at home, must be broadband
Must understand and adhere with telecommuter policy
Skills And Abilities
- Working on website related claims and action based on coding team responses.
- All non-callable denials, demographic and eligibility denials need to be worked
- Ensure Daily Productivity targets are met at the required quality level on the assigned inventory,
- Perform timely follow up on claims to avoid revenue loss, Prioritize the pending claims for calling from the aging bucket,
- Review claims that have not been paid by insurance companies,
- Check insurance information provided by patient if it is insufficient or unclear,
- Follow the guidelines and applicable rules while calling insurance companies for confidentiality and HIPAA compliance,
- Escalate difficult collection situations to management in a timely manner, Handling patients billing queries and updating their account information,
- Post cash and write off the contractual adjustments accordingly while working on the accounts,
- Meeting daily/weekly and monthly targets set for an individual.
