Senior Executive

Job Description

Overview Sr. Executive- AR caller: Review, Call, 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), Qualifications Graduate in Pharma/Nursing/life Science/physiotherapy Experience BPO Experience - 2-5 years US Healthcare AR Experience Preferred Communication Skill: Excellent oral and written communication skills Working Hours 40 hours per week as Full-time employee Shift time: 7:30 PM IST - 4:30 AM IST 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 Interact and probe the insurance representative to get the required status update and have the claim resolved, 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 patients 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. Should have knowledge of MCR LCD/NCD Guidelines and should know how to utilize the portal for LCD/NCD Guidelines for any CPT or Modifier. Show more Show less