Executive & Senior Executive - AR

Job Title: Sr. Executive

Location: Trichy

Department: Account Receivable

Reports To: Team Leader

Job Purpose:

This position should be responsible on reviewing Accounts Receivables constantly and focusing on enhancement of the revenue management/ cash flow by reducing the accounts receivable days, bad debit and proper write offs.

Key Responsibilities:

· Attention Required claims needs to be address with 24hrs TAT

· Denied claims needs to be addressed with 2 days from received date

· Working on Insurance Accepted, Submitted status after 30 days Correspondence review.

Daily Routine:

· Checking e-mails/BRC tickets and respond to concern team.

· Checking Correspondence & ERA/EFT and Monitor the files flow.

· Review the Schedule Patients.

· Unsigned claims to be work from the date of submission

· Denials must be reviewed & try to find any global issues.

· Monitoring the Charge & Payment flow and report to TL's

· Must be report to TL's with the EOD status on daily basis.

· Updating daily activity in Zoho .

· Need to initiate the call to the payers and obtain the required information

Weekly Routine:

· AR Client clarifications review

· Working on Special reports/Reports require by client office.

· Insurance correspondence review

· Client requested reports

· Weekly clarifications report preparation

Monthly Routine:

· Cap roster Vs Adjustment report comparisons

· UC report preparations

Quarterly/Yearly Routine:

· Quarterly Business Review reports.

· Yearly Reports (YTD)

Skills and Competencies:

· Basic technical skills in computer (Word & Excel)

· Skilled in following up with insurance companies via phone, email, or portal.

· Being open to learning new systems and processes as they evolve.

· Helping train new team members on AR processes.

Qualifications:

· Minimum graduate & above

· Experience – 3+ years of experience in Healthcare & Minimum 1+ years of hands-on experience in Accounts Receivables who can able to manage outbound calls to payer.

· Good written & Oral communication skill

· Good in typing skills (30+ WPM with 95% Accuracy)

Key Performance Indicators (KPIs):

· Quality % - >=98%

· Quantity % (Productivity) - 100%