Voice - Experience - Hyderabad

ROLE SUMMARY  Ensure quality driven follow-up activities and resolution of accounts is carried out with the insurance carriers on the outstanding inventory to yield maximum cash flow and minimum bad debts  Interact by Phone and Internet based portals with the insurance companies in US to procure status of the claim followed by appropriate activities to address open AR  The key functions of an AR Executive are to ensure the below responsibilities are carried out to the best of his / her ability in the interest of the organization and client RESPONSIBILITIES  To address outstanding or assigned AR through analysis and phone calls by using available resources  Utilization of all possible tools and applications available to take account to the next level of resolution, which would result in a payment, corrected submission, appeals, patient transfer or adjustment  To report trends / patterns in denials, claim submission errors, credentialing issues and billing related roadblocks to the immediate reporting manager.  To meet the established SLAs (service level agreements) for production and quality  To update the outcome of the calls or analysis in a clear and coherent manner in the billing system  To utilize the P & P’s (policies and procedures) established for the process and stay updated with changes done with the P & Ps  To improve the performance based on the feedback provided by the reporting manager / quality audit team COMPLIANCE Awareness and adherence to all applicable organization wide policies and procedures, including but not limited to Information security, HIPAA, and HR policies. ACADEMIC AND PROFESSIONAL BACKGROUND  University graduate with an average aptitude score  Minimum 12 months – 3 years of AR follow-up experience with either physician or hospital billing background  CPAT / CCAT certification will be an added advantage COMPETENCIES, SKILLS, AND OTHER REQUISITES  Sound analytical skills  Logical thinking  Attention to detail  Adequate domain knowledge on various billing terminologies & processes  Good verbal and written communication skills COMPENSATION AND BENEFITS - Competitive remuneration + annual performance-based bonus + standard industry benefits. Relocation package, per company policy will apply for candidates outside the office base city. ASSESSMENT / INTERVIEW PROCESS 1. HR Interview 2. Final Interview (Domain interview by Op’s)