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Senior Executive - Operation

Job Description - Senior Executive - Operation

Description

 


Sr. Executive- AR caller:


Qualifications: Graduation in any stream


Experience: BPO Experience - 3-6 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



Responsibilities

  1. Interact and probe the insurance representative to get the required status update and have the claim resolved

  2. Ensure Daily Productivity targets are met at the required quality level on the assigned inventory,

  3. Perform timely follow up on claims to avoid revenue loss, Prioritize the pending claims for calling from the aging bucket,

  4. Review claims that have not been paid by insurance companies,

  5. Check insurance information provided by patient if it is insufficient or unclear,

  6. Follow the guidelines and applicable rules while calling insurance companies for confidentiality and HIPAA compliance,

  7. Escalate difficult collection situations to management in a timely manner, Handling patients billing queries and updating their account information,

  8. Post cash and write off the contractual adjustments accordingly while working on the accounts,

  9. Meeting daily/weekly and monthly targets set for an individual



Qualifications

  • Qualifications: Graduation in any stream

  • Experience: BPO Experience - 3-6 years

  • US Healthcare AR experience preferred

  • Excellent oral and written communication skills



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