2.0 - 6.0 years

0 Lacs

karnataka

On-site

As an experienced professional in end-to-end follow-up and resolution of outstanding patient and insurance balances for U.S. healthcare clients, you will be responsible for delivering accurate, compliant, and timely cash collection. Upholding core principles such as customer-first approach, straightforward communication, respect, humility, and continuous learning will be crucial in your role. Your key responsibilities will include denial management by analyzing EOB/ERA codes, assigning root-cause categories, and recording preventative notes for training and proactive process improvement to reduce denial rate. Additionally, you will handle eligibility & authorization tasks, verify coverage and prior-authorization status before resubmission, and maintain logs for provider feedback. Ensuring a positive patient experience by resolving balance queries within 2 business days via phone/email to maintain a 95% CSAT score will be essential. Compliance & reporting tasks will involve safeguarding PHI per HIPAA, SOC 2, and organizational policies, updating the daily A/R aging dashboard, escalating any >45-day spike to the manager, and completing daily checklists before the close of your shift. To excel in this role, you should hold a graduate degree or diploma in commerce, healthcare administration, or equivalent. Possessing a CPC or CPB certification is preferred. Proficiency in practice management or RCM platforms such as Athena One, Kareo, eClinicalWorks is required. Advanced Excel skills including pivot tables & lookups, basic Power BI or similar dashboard exposure, and familiarity with productivity trackers and generative-AI assistance tools will be beneficial. Being proactive, taking initiative, and being a team player willing to help colleagues are qualities that will contribute to your success. High attention to detail, zero tolerance for posting errors, and effective communication skills in English are essential. Embracing organizational principles in your daily behavior is expected. In terms of the work environment, you will be operating from a dedicated office environment during night shifts to align with U.S. healthcare client timelines. Your commitment to working during night shifts will demonstrate your flexibility and dedication to the role.,

Posted 1 week ago

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