Job Description

:
_ Senior Executive - AR Analyst _ Denial management
Job Name:
Senior Executive
Position Title:
Senior Executive - AR Analyst
Band:
A2
LOB: Denial Management - AR Analyst - RCM
Reporting to:
Assistant Manager
Location/Site:
EXL India, Chennai
Overview:
Review, 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), website checking and working on non-callable denials.
Qualifications:
Graduation in any stream
Experience:
BPO Experience : 2-4 years
US Healthcare AR experience preferred
Communication Skill:
Excellent written (documentation) and oral communication skills
Working Hours:
40 hours per week as Full-time employee
Shift time: Mid Shift
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: * Working on website related claims and action based on coding team responses.

• All non-callable denials, demographic and eligibility denials need to be worked
• 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 patient 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.

Skills Required