RCM Executive / Senior RCM Executive

JOB OVERVIEW

Job responsibilities include:

• Analyze claims which are unpaid and takes end to end action based on the denial received.
• Call insurance and check for the reason why the claim was denied/rejected and make changes necessarily.
• Generates reports to distinguish the collectable and non-collectables.
• Checks status for the claims which have been recently submitted.
• Documents notes based on the conversation with the insurance rep and updated provider office if any new issues are found.
• Need to appeal the claim in portal (or) through call so the claim could get paid.
• Need to have strong knowledge how an RCM works.

JOB DESCRIPTION

• The primary task is to call insurance to check the status of the claims, especially on the ones which denied has to be taken action.
• The secondary task is to make the insurance to pay for the claim.
• Must be efficient in managing the accuracy and productivity based on the TAT(turn around time) set by the organization.
• He/She must show the willingness to learn new things.
• Must be able to work in a team environment.
• Must discuss every matter with the supervisor or team leader to get any issue sorted.
• Giving a resolution to each claim assigned should be their whole and sole responsibility, unless escalated/Completed.
• Must efficiently set goals and work, so to maintain highest level of quality while providing service to the clients.

JOB REQUIREMENTS

• Any Degree with minimum of 1(or) 2yr of experience in AR calling
• Should be willing to work in night shift as per the company requirements.
• Basic Excel knowledge and strong writing and oral communication skills.
• Preference will be given to healthcare BPO professionals with experience in voice processes, good typing and interpersonal skills, along with a good overall performance track record.
• Must be willing to take on additional job.
• Dinner Provided By Company
• No cab Facility
• Insurance Provided by the company

• Interested candidate can share their resume to below mentioned email Id -

• navita.s@redroad.in -9999645780

• bhushan.g@redroad.in - 6364920952

• shashikumar.t@redroad.in -9959206967