EXECUTIVE - AR

Role Overview: You are accountable for managing the day-to-day activities of Denials Processing, Claims follow-up, and Customer Service in the US Healthcare domain. Key Responsibilities: - Handle Accounts Receivable of US Healthcare providers, Physicians, and Hospitals. - Work closely with the team leader to ensure smooth operations. - Ensure that deliverables to the client meet quality standards. - Work on Denials, Rejections, LOA's to accounts, and make necessary corrections to claims. - Communicate with insurance carriers and document actions taken in claims billing summary notes. - Review emails for updates and escalate issues to the immediate supervisor. - Update Production logs and adhere strictly to company policies and procedures. - Demonstrate sound knowledge in Healthcare concepts. - Possess 6 months to 3 years of AR calling experience. - Have excellent knowledge of Denial management. - Understand client requirements and project specifications. - Be proficient in calling insurance companies for claims processing. - Meet targeted collections on a daily/monthly basis and productivity targets within the stipulated time. - Ensure accurate and timely follow-up on pending claims as required. - Prepare and maintain status reports. Qualification Required: - Experience: 6 months to 3 years in AR calling - Knowledge: Healthcare concepts, Denial management - Skills: Accounts Receivable, BPO, Process Improvement, MIS, Medical Billing, Vendor Management, Accounting, Financial Analysis, Outsourcing, CRM (Additional details of the company were not provided in the job description),