Job Description

Senior ExecutiveEXL/SE/1465219


Payment ServicesChennai
Posted On
08 Sep 2025
End Date
23 Oct 2025
Required Experience
5 - 7 Years



Basic Section
Number Of Positions


2


Band


A2


Band Name


Senior Executive


Cost Code


D013449


Campus/Non Campus


NON CAMPUS


Employment Type


Permanent


Requisition Type


New


Max CTC


600000.0000 - 900000.0000


Complexity Level


Not Applicable


Work Type


Hybrid - Working Partly From Home And Partly From Office


Organisational
Group


Healthcare


Sub Group


Healthcare


Organization


Payment Services


LOB


Payment Services


SBU


IRMS


Country


India


City


Chennai


Center


IN Chennai C51




Skills
Skill


QUALITY


CREDIT


MEDICAL BILLING


HEALTHCARE


QA


RCM


Minimum Qualification


GRADUATE


Certification


No data available

JOB DESCRIPTION

:

RCM Denial Management - AR Caller - Quality - Sr Executive

JOB SUMMARY:

As a QA RCM, you will be responsible for auditing the work of RCM Callers to ensure the highest standards of service delivery.

REQUIRED EDUCATION/EXPERIENCE:

Should be Graduate Should have worked as a

Quality Controller for AR for at least one year

with medical billing service providers or should have minimum 5 years' experience into AR

Must have very good knowledge of medical billing and be confident in process knowledge. Experience in the end-to-end Healthcare process and AR team for the audit Adapting to new situation challenges whenever required. Adhere to all company policies and procedures.

POSITION RELATIONSHIPS:

Reports directly to the Assistant Manager

JOB RESPONSIBILITIES:

Review the work performed by AR team and document any quality issues. Review call quality issues on various parameters such as conversational skills, claims resolution, and voice quality. Participate in developing process documentation. Provide feedback and work with the training team to provide remedial training. Check the reports developed by AR team - aging analysis, understanding days in A/R, top reasons for denials, etc Always be at the forefront of ethical behavior and never be a bystander.

PROFESSIONAL:

Recognize and respect cultural diversity. Adapt communication to an individual's ability to understand. o Use medical terminology appropriately. Respond to communications received within a reasonable time frame. Project a professional manner and image. Adhere to ethical principles. Demonstrate initiative and responsibility. Work as a team member. Efficient Time Management. Prioritize and perform multiple tasks. Adapt to change, including new hours of operation and methodology. Attend functional team meetings and mandatory in-service education. Maintain proper observation and adherence to company policies and procedures.

KNOWLEDGE, SKILLS, AND EXPERIENCE:

Should have worked as a Quality Controller for AR for at least one year with AR providers or should have worked more than 6 years into AR Must have very good knowledge of AR and be confident in process knowledge. Experience in the end-to-end Healthcare process and AR Team for the audit Adapting to new situation challenges whenever required. Adhere to all company policies and procedures

LEGAL and COMPLIANCE:

Maintain patient and company confidentiality. Practice within the scope of education, training, and personal capabilities. Document company documents (hard copy and electronic) accurately. Use appropriate guidelines for releasing information. Maintain awareness of US federal and US state health care legislation and regulations, PHI, HIPAA

WORKING HOURS:

40 hours per week as Full-time employee Shift time: 01:30AM TO 10:30PM IST Weekends Off

TELECOMMUTER/INTERNET REQUIREMENT:

High Speed internet connection at home, must be broadband with minimum of 100 MBPS Speed or above Must understand and adhere with telecommuter policy Must have power backup at to mitigate power outage

Workflow
Workflow Type


L&S-DA-Consulting