Senior Executive EXL / SE / 1121011

Job Description

Overview :

Review, call, Analyze and Manage assigned outstanding receivables portfolio by ensuring outstanding / denied claims are resolved, follow up effectively for additional information as needed with insurance companies for claims resolution, follow up with the insurance company on the outstanding / denied claims and resolve them within the timelines and defined Service Level Agreements (SLA’s),

Qualifications :

Graduation in any stream

Experience :

BPO Experience - 2-3 years

US Healthcare AR experience preferred

Communication Skill :

Excellent oral and written (documentation) communication skills

Working Hours :

40 hours per week as Full-time employee

Shift time : Weekends Off

Telecommuter / Internet requirements, if applicable :

High Speed internet connection at home, must be broadband

Must understand and adhere with telecommuter policy

Skills and abilities :

• Interact and probe the insurance representative to get the required status update and have the claim resolved,
• Ensure Daily Productivity targets are met at the required quality level on the assigned inventory,
• Perform timely follow up on claims to avoid revenue loss, Prioritize the pending claims for calling from the aging bucket,
• Review claims that have not been paid by insurance companies,
• Check insurance information provided by patient if it is insufficient or unclear,
• Follow the guidelines and applicable rules while calling insurance companies for confidentiality and HIPAA compliance,
• Escalate difficult collection situations to management in a timely manner, Handling patients billing queries and updating their account information,
• Post cash and write off the contractual adjustments accordingly while working on the accounts,
• Meeting daily / weekly and monthly targets set for an individual.