Job Description

Job Title : Executive - AR

:

An AR Analyst is a person, who monitors the receivables to ensure that it is well within control. He/She should keep in mind that the main objective of a medical accounts receivable is to maximize collections.

Experience Range:

1 - 3 years

Educational Qualifications:

Any graduation

Job Responsibilities:

- Responsible for calling Insurance companies (in US) on behalf of doctors/physicians and follow up on outstanding Accounts Receivable
- To prioritize the pending claims for calling from the aging basket
- Should be able to convince the claims company (payers) for payment of their outstanding claims.
- To check the appropriateness of the insurance information given by the patient if it is inadequate or unclear.
- To make a physical call by following the international norms and applicable rules for confidentiality and HIPAA compliance
- Escalate difficult collection situations to management in a timely manner.
- Review provider claims that have not been paid by insurance companies
- Handling patient's 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.
- In case the patient does not have sufficient insurance coverage for the medical procedure or if the patient is in any way not eligible for coverage, transfer the outstanding balance to the patient.
- In case the claim has already been paid by the insurance company, request insurance company/ TPA to send EOB (Explanation of Benefits) through fax/ mail.
- Sound knowledge of U.S. Healthcare Domain (Provider side)

Skills Required:

Accounts Receivables, Communication Skills, MS Office, Computer Skills, Good Team Player,

Candidate Attributes:

- Ready to work in US Shifts (Night Shift).

-Should be able to provide resolutions/actionable on any given denials. -Exposure on payer portals for claim status and eligibility - Mandatory.
- Experience in Healthcare Revenue Cycle Management process.
- Strong written and verbal communication skills.
- Good computer skills including Microsoft Office suite.
- Ability to prioritize and manage work queue.
- Ability to work independently as well as in a team environment.
- Strong analytical and problem-solving skills.
- Ability to perform other responsibilities and assist with special projects.
- Ability to learn quickly and also provide training to others.
- Sharing of knowledge and best practices.
- Adherence to compliance norms.
- Good typing skills with a speed of min 30-35 words /min

Questions can be from any denial, predominantly on below scenarios -

Coordination of benefits

Eligibility

Inclusive

Not medically necessary

No authorization

Non-covered service

Perks and Benefits

- 2 Way Cab Facility

- Medical Insurance

Shift

- Complete Night Shift

- WFO

Job Types: Full-time, Permanent

Pay: ?200,000.00 - ?500,000.00 per year

Schedule:

• Day shift

Education:

• Bachelor's (Preferred)

Experience:

• Ar Calling: 1 year (Preferred)

Work Location: In person