Job Description

:
Sr. Executive- AR caller:
Overview:
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.