Job Description

• Omega Healthcare Management Services Private Limited
TAMIL NADU
Posted On
12 Dec 2024
End Date
26 Dec 2024
Required Experience
1 - 3 Years



Basic Section
No. Of Openings


3


Grade


1B


Designation


EXECUTIVE - AR


Closing Date


26 Dec 2024


Organisational
Country


IN


State


TAMIL NADU


City


TIRUCHIRAPPALLI


Location


Tiruchirappalli-I




Skills
Skill


ACCOUNTS RECEIVABLE


PROCESS IMPROVEMENT


MEDICAL BILLING


OUTSOURCING


VENDOR MANAGEMENT


TRANSITION MANAGEMENT


OPERATIONS MANAGEMENT


REVENUE CYCLE


MIS


BPO


Education Qualification


No data available


CERTIFICATION


No data available



Role Description Overview:


The User is accountable to manage day to day activities of Denials Processing/ Claims follow-up/ Customer Service


Responsibility Areas:

• Should handle US Healthcare providers/ Physicians/ Hospital's Accounts Receivable.
• To work closely with the team leader.
• Ensure that the deliverables to the client adhere to the quality standards.
• Responsible for working on Denials, Rejections, LOA's to accounts, making required corrections to claims.
• Calling the insurance carrier & Document the actions taken in claims billing summary notes.
• To review emails for any updates
• Identify issues and escalate the same to the immediate supervisor
• Update Production logs
• Strict adherence to the company policies and procedures.



• Sound knowledge in Healthcare concept.
• Should have 6 months to 3 Yrs of AR calling Experience.
• Excellent Knowledge on Denial management.
• Understand the client requirements and specifications of the project
• Should be proficient in calling the insurance companies.
• Ensure targeted collections are met on a daily / monthly basis
• Meet the productivity targets of clients within the stipulated time.
• Ensure accurate and timely follow up on pending claims wherein required.
• Prepare and Maintain status reports