AR-Executive

Role Description Overview:

The User is accountable to manage day to day activities of Denials Processing/ Claims follow-up/ Customer Service.

Responsibility Areas:

·       Handle US Healthcare providers/ Physicians/ Hospital's Accounts Receivable.

·         To work closely with the team leader.

·         Ensure that the deliverables to the client adhere to the quality standards.

·         Responsible for working on Denials, Rejections, LOA's to accounts, making required corrections to claims.

·         Calling the insurance carrier & Document the actions taken in claims billing summary notes.

·         To review emails for any updates

·         Identify issues and escalate the same to the immediate supervisor

·         Update Production logs

·         Strict adherence to the company policies and procedures.

Requirements:

·         Sound knowledge in Healthcare concept.

·        Must have 1 to 3 years of AR calling Experience and experience in handling Prior Authorization

·         Excellent Knowledge on Denial management.

·         Should be proficient in calling the insurance companies.

·         Ensure targeted collections are met on a daily / monthly basis

·         Meet the productivity targets of clients within the stipulated time.

·         Ensure accurate and timely follow up on pending claims wherein required.

·         Prepare and Maintain status reports

Skills & Education:

·         Any degree

·         Excellent Communication Skills, Analytical & Good Listening Skills

·         Basic Computer Skills