Process Associate

Hyderabad, Chennai

May 17, 2023

Urgent

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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 is 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 road blocks 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 also 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
Shift Timings – EST (Evening Shift)

COMPETENCIES, SKILLS AND OTHER REQUISITES

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